Tennessee Licensed Authorization Nurse

A company is looking for an RN-Authorization Nurse to coordinate and monitor authorization and denials management processes. Key Responsibilities Manage authorization processes to ensure quality and cost-effectiveness of medical care Identify, monitor, and report issues in the certification process affecting registration, billing, and reimbursement Research and manage denials, coordinating with physician practices and across the organization Required Qualifications, Training, and Education Associate's Degree in Nursing (RN) required Bachelor's Degree in Nursing (RN) preferred 5-7 years of clinical nursing experience required Experience in authorization or denials management, care coordination, and case management Licensure as a Registered Nurse in Arkansas, Mississippi, and Tennessee required

Apr 11, 2025 - 17:49

A company is looking for an RN-Authorization Nurse to coordinate and monitor authorization and denials management processes. Key Responsibilities Manage authorization processes to ensure quality and cost-effectiveness of medical care Identify, monitor, and report issues in the certification process affecting registration, billing, and reimbursement Research and manage denials, coordinating with physician practices and across the organization Required Qualifications, Training, and Education Associate's Degree in Nursing (RN) required Bachelor's Degree in Nursing (RN) preferred 5-7 years of clinical nursing experience required Experience in authorization or denials management, care coordination, and case management Licensure as a Registered Nurse in Arkansas, Mississippi, and Tennessee required