Florida Licensed Medical Review Nurse
A company is looking for a Registered Nurse - Medical Review. Key Responsibilities Review and authorize service requests based on established criteria and compliance standards Determine benefit coverage and medical necessity for authorization requests Collaborate with various departments and provide accurate prior authorization information Required Qualifications 2+ years of related work experience High school diploma or GED Registered Nurse State Licensure and/or Compact State Licensure Proficiency in using desktop/laptop and MS Office products Ability to work rotational on call, including weekends and holidays
A company is looking for a Registered Nurse - Medical Review.
Key Responsibilities
Review and authorize service requests based on established criteria and compliance standards
Determine benefit coverage and medical necessity for authorization requests
Collaborate with various departments and provide accurate prior authorization information
Required Qualifications
2+ years of related work experience
High school diploma or GED
Registered Nurse State Licensure and/or Compact State Licensure
Proficiency in using desktop/laptop and MS Office products
Ability to work rotational on call, including weekends and holidays
