Job Summary

A staffing and recruiting agency needs applicants for an opening for a Telecommute New York Licensed Registered Nurse Care Review Clinician.

Candidates will be responsible for the following:

• Being responsible for Prior Authorizations
• Working with members, providers and multidisciplinary team members
• Assessing, facilitating, planning and coordinating an integrated delivery of care across the continuum

Position Requirements Include:

• Have experience in prior authorizations
• Registered Nurse License in the state of New York
• Experience in Milliman Care Guidelines (MCG) and/or InterQual is also required