Kansas Licensed Prior Authorization Nurse - Detroit Michigan

Company: VirtualVocations
Location: Detroit, Michigan
Posted On: 01/30/2025

A company is looking for a Prior Authorization Utilization Review Specialist - PASRR (Remote Nurse).



Key Responsibilities

Assist in adjudication of medically complicated claims
Participate in policy development and assist in drafting provider manuals and bulletins
Review, assess, and pre-approve selected non-emergency medical services


Required Qualifications and Education

Active nursing license (RN or LPN) in the United States with no restrictions
Minimum of two (2) years of Medicaid or healthcare experience preferred
Knowledge of the PASRR process preferred
Strong analytical skills for making medical necessity determinations More...

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