Job Summary
A healthcare company has an open position for a Remote Prior Authorization Care Review Clinician in Bothell.
Core Responsibilities Include:
- Assessing services for members
- Analyzing clinical service requests from members or providers
- Conducting prior authorization reviews to determine financial responsibility
Qualifications for this position include:
- Ability to travel to local facilities
- Completion of an accredited RN program or Bachelor's Degree in healthcare field
- 1-3 years of hospital or medical clinic experience
- Ability to assess services for members to ensure optimum outcomes
- Ability to analyze clinical service requests from members or providers