Job Summary
A healthcare company is filling a position for a Telecommute Medicare Medicaid Duals Prior Authorization Registered Nurse.
Core Responsibilities Include:
- Acting as a resource for others with less experience
- Providing telephonic discussion to explain benefit coverage
- Communicating in writing and verbally, all types of benefit determinations
Qualifications for this position include:
- A current unrestricted Compact State RN license in the state of residence
- NLC (Nurse License Compact) RN license or have an RN license in an eNLC state and can apply
- 3+ years as a Registered Nurse (RN)
- 3+ years of RN clinical experience in a hospital inpatient/acute care setting
- Exemplary clinical documentation skills; critical thinking skills
- Demonstrate a proficiency in computer skills