Job Summary

A healthcare company is seeking a Telecommute Prior Authorization Registered Nurse.

Candidates will be responsible for the following:

• Function as a member of a self-directed team to meet specific individual and team performance metrics
• Communicating all types of benefit determinations including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations
• Explaining benefit coverage determinations and to obtain additional clinical information

Qualifications Include:

• A current unrestricted Compact State RN license in the state of residency
• 3+ years as a Registered Nurse (RN)
• 3+ years of RN clinical experience in a hospital inpatient/acute care setting
• Demonstrate a proficiency in computer skills
• Exemplary clinical documentation skills
• Excellent communication skills both verbal and written