Texas Licensed Clinical Review Nurse
Company: VirtualVocations
Location: Saint Petersburg
Posted on: March 26, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Prior
Authorization.
Key Responsibilities
Analyze prior authorization requests to determine medical necessity
and appropriate level of care
Coordinate with healthcare providers and interdepartmental teams to
ensure timely review and authorization of services
Document and maintain member's clinical information 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 preferred
Clinical knowledge and ability to analyze authorization requests
preferred
Knowledge of Medicare and Medicaid regulations preferred
TX RN license or compact RN license required
Keywords: VirtualVocations, St. Petersburg , Texas Licensed Clinical Review Nurse, Healthcare , Saint Petersburg, Florida
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