Prior Authorization Nurse (RN)
Skills
- Utilization management principles
- Case management skills
- Critical thinking
- Clinical nursing expertise
Responsibilities
- Complete prior authorization requests in a timely manner.
- Evaluate medical records and health care data.
- Utilize Milliman Care Guidelines and related policies in review determination process.
- Demonstrate strong critical thinking and clinical nursing skills.
Education
- Bachelor’s degree in Nursing
- Current unrestricted RN license in California
Benefits
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Health and Wellness Program
- Onsite EV Charging Stations
Average salary estimate
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