Immediate need for a talented Clinical Review Nurse - Prior Authorization. This is a 03 Months Contract opportunity...: to perform prior authorization clinical reviews for Texas Marketplace members, additionally, will need to assist with non...
performing clinical reviews for prior authorization requests utilizing policies, Interqual, sending to the MD... Duration: 3+ months Job Description: Job Profile Summary Position Purpose: Purpose: to perform prior authorization...
with Multidisciplinary Team Participates in clinical review meetings and care conferences. Communicates with financial counselors regarding.... Preferred Qualifications Master of Science in Nursing (MSN) or related clinical field. Certified Heart Failure Nurse (CHFN...