Remote Pre-Authorization Nurse - Utilization Review

Hong Kong Study Skills Research Institute; Juneau (AK); On-site; USD 71,100 - 97,800; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) retirement savings plan

Paid time off

Short-term and long-term disability

Life insurance

Wellness programs

Job summary

The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home.

Ideal candidates will be licensed RNs with a minimum of two years clinical experience. The compensation ranges from $71,100 to $97,800 annually, alongside comprehensive benefits and a potential bonus incentive.

Qualifications

• Minimum two years of varied clinical nursing experience.
• Ability to obtain licensure in multiple states without restrictions.
• Intermediate to advanced knowledge of Microsoft Office applications.

Responsibilities

• Reviews prior authorization requests for appropriate care.
• Performs medical necessity and level of care reviews.
• Educates providers on utilization and medical management processes.

Skills

Clinical nursing experience

Microsoft Office

Technical troubleshooting

Independent work

Education

Active Licensed Registered Nurse (RN) in a compact license state

Job description

The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home.

Ideal candidates will be licensed RNs with a minimum of two years clinical experience. The compensation ranges from $71,100 to $97,800 annually, alongside comprehensive benefits and a potential bonus incentive.