RN Prior Authorization Nurse

Job is Expired

Location: Remote

Compensation: Salary

Reviewed: Mon, May 26, 2025

Job Category: Healthcare

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Masters

Job Summary

A company is looking for a RN Prior Authorization Nurse with a Healthcare Compact License.

Key Responsibilities

Perform utilization review activities, including pre-certification and concurrent reviews
Determine medical necessity of requests by applying medical criteria and guidelines
Document and communicate all utilization review activities and outcomes

Required Qualifications

Current, unrestricted Texas RN license or compact license
2+ years of experience in managed care or 5+ years of nursing experience
Proficient in PC software computer skills

COMPLETE JOB DESCRIPTION

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Job is Expired

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