Impactful RN: Prior Authorization Reviewer

A health services organization is seeking a Prior Authorization RN responsible for reviewing and processing medical authorization requests. This crucial role involves managing consumer care across healthcare settings, ensuring compliance with medical necessity guidelines, and conducting educational sessions for stakeholders. Qualified candidates will have an active RN license, preferably in Arizona, and familiarity with outpatient authorizations and Medicare review processes.

This position emphasizes quality care and effective communication within a regulatory framework.
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