Prior Auth RN — Clinical Review & UM Specialist (Hybrid)
Arizona-Priority-Care
Arizona Priority Care (AZPC) is a Chandler, AZ-based Integrated Provider Network focused on value-based care for Senior and Medicaid populations. The Prior Authorization Registered Nurse (RN) conducts initial clinical reviews, pre-screens requests, applies eligibility criteria, and prepares cases for UM review in collaboration with Medical Directors. Responsibilities include handling queues, drafting denial letters that comply with CMS and policies, and maintaining 98% accuracy while processing #J-18808-Ljbffr Arizona-Priority-Care
Vacancy posted 4 days ago
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