RN Prior Authorization – Clinical Review (Boston)

Healthcare Support Staffing; Waltham (MA); On-site; USD 41,328; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Positive work environment

Job summary

A national healthcare recruiting firm is seeking an experienced RN Prior Authorization in Waltham, MA. This position requires 2+ years of clinical nursing experience and knowledge in Prior Authorization. Key responsibilities include reviewing authorization requests, collaborating with providers, and managing care processes. The job offers a starting pay of $30 per hour alongside benefits like medical, dental, and vision. If interested, please contact our recruiting consultant for more details.

Qualifications

• 2+ years of clinical nursing experience.
• Prior Authorization experience from a managed care company or clinical setting.

Responsibilities

• Apply clinical acumen to prior authorization requests.
• Perform telephonic reviews of authorization requests.
• Complete medical necessity reviews using clinical judgment.
• Collaborate with staff to coordinate member care.
• Educate providers on medical management processes.

Skills

Clinical nursing experience

Prior Authorization experience

Job description

A national healthcare recruiting firm is seeking an experienced RN Prior Authorization in Waltham, MA. This position requires 2+ years of clinical nursing experience and knowledge in Prior Authorization. Key responsibilities include reviewing authorization requests, collaborating with providers, and managing care processes. The job offers a starting pay of $30 per hour alongside benefits like medical, dental, and vision. If interested, please contact our recruiting consultant for more details.