Clinical Review Nurse – Prior Authorization
RN Clinical Review Nurse – Prior Authorization – Oregon
HealthCare Support is actively seeking multiple Prior Authorization Nurses to fill multiple openings with a Managed Care Organization in Oregon.
Daily Responsibilities for RN Clinical Review Nurse – Prior Authorization:
- Assesses and evaluates members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
- Monday-Friday 8am-5pm PST, rotating schedule for holidays and weekends (need to be flexible to working holidays and weekends when needed)
- This is a remote position. Must have License in Oregon.
Required Qualifications for RN Clinical Review Nurse – Prior Authorization:
- 2+ years of recent prior auth experience from an MCO setting
- Clear and active Registered Nurse WA and OR licenses
Preferred Qualifications for RN Clinical Review Nurse – Prior Authorization:
- Ability to review 15 authorizations per day
- Experience using InterQual Criteria or Milliman Care Guidelines to determine medical necessity
Benefits for RN Clinical Review Nurse – Prior Authorization:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $38.00 to $42.00 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to hirememanagedcare@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.