Multi-State Licensed Clinical Review Nurse
Company: VirtualVocations
Location: West Palm Beach
Posted on: April 8, 2025
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Job Description:
A company is looking for a Clinical Review Nurse - Prior
Authorization - LVN/LPN.
Key Responsibilities
Analyzes prior authorization requests to determine medical
necessity and appropriate level of care
Coordinates with healthcare providers and teams to ensure timely
review and authorization of services
Documents and maintains member clinical information in 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
LPN - Licensed Practical Nurse - State Licensure required
Clinical knowledge in analyzing authorization requests
preferred
Knowledge of Medicare and Medicaid regulations preferred
Keywords: VirtualVocations, Boynton Beach , Multi-State Licensed Clinical Review Nurse, Healthcare , West Palm Beach, Florida
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