Oklahoma Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Gilbert
Posted on: February 5, 2025
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Job Description:
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
Coordinate with healthcare providers and teams to ensure timely
reviews and authorizations
Document and maintain member clinical information in compliance
with regulatory guidelines
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience preferred
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
Valid Oklahoma or compact nursing license required
Keywords: VirtualVocations, Gilbert , Oklahoma Licensed Clinical Review Nurse, Healthcare , Gilbert, Arizona
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