RN Patient Care Coordinator - TRICARE State Licensed

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Sun, Feb 11, 2024
This job expires in: 14 days

Job Summary

A company is looking for an RN Patient Care Coordinator for TRICARE.

Key Responsibilities:
  • Review prior authorization requests and approve services or forward requests to appropriate stakeholders
  • Assist TRICARE beneficiaries in receiving specialty healthcare through referral/authorization management
  • Complete medical necessity and level of care reviews and educate providers on utilization and medical management processes

Required Qualifications:
  • Associate degree in nursing
  • Experience working with MCG and/or InterQual guidelines
  • Minimum of 3 years of clinical nursing experience
  • Active R.N. license in the state(s) of residence
  • Ability to be licensed in multiple states without restrictions

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