Florida Licensed Clinical Review Nurse
Company: VirtualVocations
Location: West Covina
Posted on: May 3, 2025
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Job Description:
A company is looking for a Clinical Review Nurse-Prior
Authorization.
Key Responsibilities
Analyzes prior authorization requests to determine medical
necessity and appropriate level of care
Coordinates with healthcare providers and interdepartmental teams
to ensure timely review and authorization of services
Maintains clinical information in health management systems to
ensure compliance with regulatory guidelines
Required Qualifications
Graduate from an Accredited School of Nursing or Bachelor's degree
in Nursing
2 - 4 years of related experience in clinical review or
authorization processes
Knowledge of Medicare and Medicaid regulations preferred
Knowledge of utilization management processes preferred
LPN - Licensed Practical Nurse - State Licensure required
Keywords: VirtualVocations, Huntington Park , Florida Licensed Clinical Review Nurse, Healthcare , West Covina, California
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