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Washington Licensed Preservice Review RN

5/30/2025

No location specified

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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