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
Licensed Nurse Rn • Park Row, Texas, United States