RN Prior Authorization Specialist — Clinical UM & Growth

Healthcare Support Staffing; Tacoma (WA); On-site; USD 64,000 - 78,000; Full time

Benefits offered by this job

Competitive salary

Annual bonus

Medical benefits

401k Matching

Positive work environment

Job summary

A national healthcare staffing firm is seeking an RN for a position focused on prior authorizations in Tacoma, WA. This role involves reviewing authorization requests, collaborating with care teams, and educating providers on utilization processes. The ideal candidate will possess an RN license and 2-5 years of clinical experience. The position offers a competitive salary between $64-78K and benefits including 401k matching. A positive work environment with opportunities for growth awaits.

Qualifications

• RN license required.
• Minimum of 2-5 years of clinical experience in an acute setting.
• Must have experience authorizing services or calling in for authorizations.
• Knowledge of managed care principles is essential.

Responsibilities

• Promote the quality and cost effectiveness of medical care by applying clinical acumen.
• Perform telephonic review of prior authorization requests.
• Collaborate with staff to coordinate member care.
• Educate providers on utilization processes.

Skills

Clinical experience

Knowledge of utilization management

Comfortable with software

Education

Associate’s degree in Nursing

Job description

A national healthcare staffing firm is seeking an RN for a position focused on prior authorizations in Tacoma, WA. This role involves reviewing authorization requests, collaborating with care teams, and educating providers on utilization processes. The ideal candidate will possess an RN license and 2-5 years of clinical experience. The position offers a competitive salary between $64-78K and benefits including 401k matching. A positive work environment with opportunities for growth awaits.