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Remote Prior Authorization Utilization Management Nurse Consultant, LA

Review and apply evidenced-based clinical criteria for services requiring precertification.
New York
Mid-Level
$26.01-$56.13 USD per hour
1 week ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

✨ About The Role

- The role involves applying critical thinking and clinical guidelines for services requiring precertification - Majority of the time will be spent at a desk and on the phone collecting and reviewing clinical information - Must have an active and unrestricted RN licensure in the state of Louisiana - Position requires proficiency in computer skills and the ability to navigate multiple systems - The job entails authorizing procedures/services based on specific criteria and initiating Medical Director referrals as needed

⚡ Requirements

- Must have at least 3 years of clinical experience and be a registered nurse in the state of Louisiana - Ability to work in a fast-paced environment and be proficient in computer skills - Comfortable working Monday through Friday with occasional weekend/holiday on-call shifts - Strong critical thinking skills and the ability to apply evidenced-based clinical criteria - Experience with prior authorization is preferred
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Remote Prior Authorization Utilization Management Nurse Consultant, LA
New York
$26.01-$56.13 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system