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Prior Authorization Registered Nurse

A-Line Staffing Solutions Richmond, VA Full-Time
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WHAT YOU'LL DO:

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings.  Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care. Conduct discharge planning.

WHAT’S GREAT ABOUT THIS POSITION?

  • Full-time opportunity with a Fortune 100 Healthcare Company
  • Office based position.
  • Rapid growth and advancement opportunities.
  • Competitive benefits

QUALIFICATIONS:

  • Current Registered Nurse in the State of Virginia
  • Associate in Nursing required or BSN
  • 2+ years prior authorization, utilization management and/or concurrent review experience
  • Previous managed care preferred

SALARY: Call to Inquire

PLEASE CONTACT: ALLISTON BROWN /

586-710-7944
OR
877-782-3334
, EXT. 229

RN, registered nurse, case manager, discharge planning,  acute care, managed care, triage, quality assurance, telehealth, telephonic, health plan, utilization review, prior authorization, quality improvement, utilization management, HMO, PPO, concurrent review, Medicaid, Medicare, care manager, utilization review, acute care, clinical, CCM, certified case manager, healthcare, medical, BSN, bachelor degree

Recommended skills

Medicaid
Prior Authorization
Health Care
Utilization Management
Clinical Works
Decision Making

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Prior Authorization Registered Nurse
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