Senior Clinical Review Nurse - Complex Cases & Prior Authorization
Akido GmbH
Akido Labs, Inc. is seeking a Clinical Review Nurse for Complex Case Management and Prior-Authorization in California. You will review and process prior authorizations, evaluate medical necessity, and coordinate with providers to ensure timely, accurate determinations within the Utilization Management team. You will lead care management for high-risk populations, document decisions, and ensure compliance with health plan requirements. #J-18808-Ljbffr Akido GmbH
Vacancy posted 1 day ago
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