RN Prior Authorization Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025

Job Description:

A company is looking for an RN Prior Authorization Nurse with a Healthcare Compact License.
Key Responsibilities:

Perform utilization review activities, including pre-certification and concurrent reviews
Determine medical necessity of requests by applying medical criteria and guidelines
Document and communicate all utilization review activities and outcomes

Required Qualifications:

Current, unrestricted Texas RN license or compact license
2+ years of experience in managed care or 5+ years of nursing experience
Proficient in PC software skills

Keywords: VirtualVocations, Rowland Heights , RN Prior Authorization Nurse, Healthcare , Vista, California

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