Job Summary
A health insurance company is seeking a Remote Nurse Reviewer Associate or Level I.
Candidates will be responsible for the following:
- Receiving pre-authorization requests from front-line intake
- Conducting initial medical necessity clinical screening
- Determining if initial clinical information presented meets medical necessity criteria
Applicants must meet the following qualifications:
- Current active, valid, unrestricted RN license
- Experience working with managed healthcare programs
- Customer service experience is preferred