Job Summary
A managed care services provider is in need of a Virtual Prior Authorization Nurse in Chicago.
Individual must be able to fulfill the following responsibilities:
- Review and collect medical information in order to determine the medical necessity of services
- Ensure that services provided to eligible members are within benefit plan
- Initiate and continue direct communication with health care providers
Qualifications for this position include:
- Required A High School or GED
- Required 2 years of experience in Nursing
- Required Licensed Practical Nurse
- Ability to communicate and make recommendations to upper management
- Ability to work in a fast paced environment with changing priorities