California Licensed Nurse RN 3

A company is looking for a Nurse RN 3.

Key Responsibilities

Triage incoming cases and determine priority based on clinical need and guidelines

Review and process prior authorization cases in alignment with medical policy

Document clinical decisions, rationale, and case notes accurately in the appropriate systems

Required Qualifications

Valid California registered nursing license

BSN preferred

Experience in prior authorization, utilization review, or related case management preferred

Experience working with EMR systems and standard office software

Demonstrated ability to work independently in a remote or semi-remote environment