Clinical Review Nurse - Prior Authorization (RN)
About this role
Clinical Review Nurse - Prior Authorization (RN)
Description
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
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CA RN required.
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Position is remote. Will work PST hours.
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Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
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