Kentucky Licensed Prior Authorization Nurse
Company: VirtualVocations
Location: Denton
Posted on: May 1, 2025
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Job Description:
A company is looking for a Prior Authorization Registered
Nurse.
Key Responsibilities
Review prior authorization requests for appropriate care and
setting, approving services or forwarding requests as necessary
Complete medical necessity and level of care reviews using clinical
judgment and refer to stakeholders based on case findings
Educate providers on utilization and medical management processes
while maintaining clinical information in medical management
systems
Required Qualifications
Licensed Registered Nurse (RN) in the state of Kentucky with no
disciplinary action
Minimum 3 years of experience as a nurse in a clinical setting
Strong proficiency with MS Office Suite and ability to learn
multiple systems
Experience with the development and implementation of policies and
procedures
Keywords: VirtualVocations, Flower Mound , Kentucky Licensed Prior Authorization Nurse, Healthcare , Denton, Texas
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