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UM Referrals [PAuths / Pre-Cert]

Job Description

    • Reviews, verifies and processes requests for referrals (authorizations)
    • Selecting the appropriate provider with proper coding
    • Selecting the appropriate language for denials
    • Refer high dollar, complex cases to the Medical Director

Job Requirements

CA Nursing License (Registered Nurse RN, Licensed Vocational Nurse LVN)
Able to meet production quotas

Job Snapshot

Employment Type Full-Time
Job Type Health Care, Insurance, Nurse
Education Not Specified
Experience At least 1 year(s)
Manages Others No
Relocation No
Industry Healthcare - Health Services, Managed Care, Insurance
Required Travel Not Specified
Job ID 17A*
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UM Referrals [PAuths / Pre-Cert]

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