Arizona Licensed Clinical Review Nurse - Warren Michigan

Company: VirtualVocations
Location: Warren, Michigan
Posted On: 01/26/2025

A company is looking for a Clinical Review Nurse - Prior Authorization.



Key Responsibilities

Analyze prior authorization requests to determine medical necessity and appropriate level of care
Collaborate with healthcare providers and teams to ensure timely reviews and authorizations
Document and maintain clinical information to ensure compliance with regulatory guidelines


Required Qualifications

Graduate from an Accredited School of Nursing or a Bachelor's degree in Nursing
2 - 4 years of related experience
LPN license or Compact RN license required
Clinical knowledge to analyze authorization requests preferred
Knowledge of Medicare and Medicaid regulations preferred More...

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