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Showing: 19 Clinical Review Nurse - Prior Authorization jobs in US
Clinical Review Nurse - Prior Authorization
Spectraforce
US
Remote

12 days ago

Job Description

Position Title: Clinical Review Nurse - Prior Authorization 
Work Location: Remote (Delaware)
Assignment Duration: 3 months (Possibility to extend)
Work Schedule: 8am – 5pm EST 
 
  • Daily schedule & OT expectations
  • Typical task breakdown and rhythm
  • Interaction level with team
  • Work environment description
Review authorization request that come in for pre service
Reach out to providers for information and follow up
Approval letters to providers
Consider prior authorization for S&P
Fast pace independent environment
 
Candidate Requirements
Required: Bachelor’s degree in Nursing and 2 – 4 years of related experience. Preferred:  
Required: .RN, BSN, LPN, compact license Preferred:  
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
Must haves:
Microsoft Office, Data Entry
Sense of urgency
Accountable
 
Nice to haves:
More than 50 WPM
Disqualifiers: No job hopping unless contract work
 
Performance indicators: 95% or more of accuracy /2-2.5 authorizations per hour
  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
1 Utilization Management experience
2 Acute care experience
3  
 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 38.00/hr.

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