Louisiana Licensed Pre-Authorization Nurse

A company is looking for a Pre-Authorization Registered Nurse. Key Responsibilities Review prior authorization requests for appropriate care and setting, making independent decisions based on guidelines and policies Complete medical necessity and level of care reviews, educating providers on utilization and medical management processes Enter and maintain clinical information in medical management systems while understanding departmental and organizational strategies Required Qualifications Active Registered Nurse License in Louisiana or eligibility for multi-state licensure Minimum of three years of varied clinical nursing experience Working knowledge of MS Office and ability to learn new systems quickly Ability to work independently under general instructions and collaboratively within a team

Mar 18, 2025 - 21:36

A company is looking for a Pre-Authorization Registered Nurse. Key Responsibilities Review prior authorization requests for appropriate care and setting, making independent decisions based on guidelines and policies Complete medical necessity and level of care reviews, educating providers on utilization and medical management processes Enter and maintain clinical information in medical management systems while understanding departmental and organizational strategies Required Qualifications Active Registered Nurse License in Louisiana or eligibility for multi-state licensure Minimum of three years of varied clinical nursing experience Working knowledge of MS Office and ability to learn new systems quickly Ability to work independently under general instructions and collaboratively within a team