Washington Licensed Preservice Review RN

Job Summary

A company is looking for a Preservice Review RN - Remote.

Key Responsibilities:

• Conduct utilization management and prior authorization reviews for various care settings
• Assess medical appropriateness of care levels based on guidelines and benefit determinations
• Provide resources and solutions for complex, non-standard requests and issues

Required Qualifications:

• Unrestricted RN License in the state of residence
• 3+ years of Managed Care and/or Clinical experience
• Basic computer skills with MS Outlook, Word, and Excel