LPN Clinical Review Nurse
Company: VirtualVocations
Location: Astoria
Posted on: February 5, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Prior
Authorization.
Key Responsibilities
Analyze prior authorization requests to determine medical necessity
and appropriate level of care
Coordinate with healthcare providers to ensure timely reviews and
authorized care for members
Document and maintain member's clinical information to ensure
compliance with regulatory guidelines
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience in clinical settings
Licensed Practical Nurse (LPN) State Licensure required
Clinical knowledge with the ability to analyze authorization
requests preferred
Knowledge of Medicare and Medicaid regulations preferred
Keywords: VirtualVocations, Stratford , LPN Clinical Review Nurse, Healthcare , Astoria, Connecticut
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