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Prior Authorization RN. FULLY REMOTE- MUST reside in California. Great opportunity to work with a. not-for-profit health plan. committed to providing affordable and accessible healthcare to all Californians. Job Description. The Prior Authorization Nurse will triage and review cases as necessary, handling prior authorization cases in accordance with medical policy and utilizing available resources. The role involves reviewing all prior authorizat...
Prior Authorization RN. FULLY REMOTE- MUST reside in California. Great opportunity to work with a. not-for-profit health plan. committed to providing affordable and accessible healthcare to all Californians. Job Description. The Prior Authorization Nurse will triage and review cases as necessary, handling prior authorization cases in accordance with medical policy and utilizing available resources. The role involves reviewing all prior authorizat...
POSITION OVERVIEW. The Prior Authorization Nurse plays a critical role in ensuring timely and accurate authorization of medical services across multiple specialties. This position serves as a liaison between providers, patients, and insurance companies to facilitate timely access to care while ensuring compliance with payer guidelines. The nurse utilizes clinical knowledge and judgment to evaluate medical necessity, gather supporting documentatio...