RN Clinical Review & Authorization Specialist

Pure Infusion; Sandy (UT); On-site; USD 39,000 - 52,000; Full time

Benefits offered by this job

Health, Dental, Vision Insurance

PTO 14 days first year

1 community service day per year

401(k) Matching

Competitive hourly rate

Job summary

Pure Infusion is seeking a Registered Nurse Clinical Review Specialist to ensure timely approval and renewal of patient care services across our clinics in Utah. You will coordinate with patients, physicians, and our care sites to support patient needs and uphold the company’s vision and values.

In this role you’ll review authorizations, communicate with providers, and contribute to care delivery improvements while enjoying a competitive hourly rate, 401(k) matching, and generous PTO and

Qualifications

• Minimum 1-2 years nursing experience.
• Experience with insurance and prior authorizations.
• Experience writing emails or letters for medical requests.
• Demonstrates clear communication and effective collaboration to optimize patient care and clinic operations.
• We want nurses who are eager to learn and grow with our rapidly expanding organization.
• Ability to collaborate with others and offer outstanding customer service.

Responsibilities

• Reviewing orders from authorizations.
• Communicating with referring providers.
• Ensuring timely approval and renewal of patient care services.
• Assisting Pure Healthcare in meeting all patient care needs.
• Being detail oriented with urgency to complete authorizations for patients.
• Contributing to company culture of being grateful and passionate serving patients.
• Participates in performance improvement activities for the enhancement of care delivery offering suggestions and assistance towards the continuous quality improvement of patient care.
• Demonstrates a thorough knowledge of and complies with all policies and procedures related to the performance of job duties.

Skills

Nursing experience

Insurance experience

Medical communications

Clear communication

Eagerness to grow

Customer service

Education

Current nursing license

BLS Certification

Job description

Pure Infusion is seeking a Registered Nurse Clinical Review Specialist to ensure timely approval and renewal of patient care services across our clinics in Utah. You will coordinate with patients, physicians, and our care sites to support patient needs and uphold the company’s vision and values.

In this role you’ll review authorizations, communicate with providers, and contribute to care delivery improvements while enjoying a competitive hourly rate, 401(k) matching, and generous PTO and