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
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**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
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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