Arizona Licensed Prior Authorization Nurse

A company is looking for an RN/ LPN Prior Authorization Nurse. Key Responsibilities Collaborate with healthcare providers and the authorization team for timely review of services and requests Ensure members receive authorized care Work remotely with set hours from Monday to Friday, 8:30 AM to 5 PM Required Qualifications, Training, and Education Graduate from an accredited school of nursing; BSN preferred LPN or RN license in Arizona; RN strongly preferred Minimum of 2 years of experience in Prior Authorization, Utilization Management, or Utilization Review Experience with reviewing outpatient services such as DME, home health, and hospice Familiarity with Milliman or IQ computer systems

Feb 25, 2025 - 16:07
 0
Arizona Licensed Prior Authorization Nurse
A company is looking for an RN/ LPN Prior Authorization Nurse. Key Responsibilities Collaborate with healthcare providers and the authorization team for timely review of services and requests Ensure members receive authorized care Work remotely with set hours from Monday to Friday, 8:30 AM to 5 PM Required Qualifications, Training, and Education Graduate from an accredited school of nursing; BSN preferred LPN or RN license in Arizona; RN strongly preferred Minimum of 2 years of experience in Prior Authorization, Utilization Management, or Utilization Review Experience with reviewing outpatient services such as DME, home health, and hospice Familiarity with Milliman or IQ computer systems