Job Summary
A company is looking for a Preservice Review RN - Remote.
Key Responsibilities:
- Conduct utilization management and prior authorization reviews for various care settings
- Assess medical appropriateness of care levels based on guidelines and benefit determinations
- Provide resources and solutions for complex, non-standard requests and issues
Required Qualifications:
- Unrestricted RN License in the state of residence
- 3+ years of Managed Care and/or Clinical experience
- Basic computer skills with MS Outlook, Word, and Excel
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