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Prior Authorization Nurse I

Employer
Centene Corporation
Location
North Las Vegas, NV
Closing date
Apr 14, 2021

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Profession
Nurse
Specialty
Medical Management
**Position Purpose:**
Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
+ Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
+ Complete medical necessity and

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