Clinical Review Nurse - Prior Authorization

Job Title: Clinical Review Nurse - Prior Authorization - J00927 Address: Various, MO Job Description Perform clinical reviews for prior authorization requests. Ensure compliance with medical guidelines and protocols. Collaborate with healthcare providers to gather necessary information. Evaluate and document clinical necessity of requested services. Identify trends and provide feedback for quality improvement. Critical Information On-site position with standard business hours. Education/Licenses Needed Registered Nurse (RN) license required. Bachelor's degree in Nursing or related field preferred. Benefits Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required. #J-18808-Ljbffr