Oklahoma Licensed Prior Authorization Nurse

Job Summary

A company is looking for a Prior Authorization Registered Nurse - Remote.

Key Responsibilities

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare services and benefits for members
• Gather clinical information and apply evidence-based guidelines to make coverage determinations
• Communicate with providers and stakeholders to facilitate treatment and identify referral opportunities

Required Qualifications

• Active, current, and unrestricted Oklahoma RN license
• Minimum of 3 years of clinical nursing experience
• Availability to work 4-10 hour shifts including every weekend
• Proficiency in computer navigation and use of multiple systems
• Associate's Degree in Nursing required; Bachelor of Science in Nursing (BSN) preferred