RN Utilization & Prior Authorization Specialist
W3R
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Job summary
W3R is seeking a Texas Licensed Registered Nurse for a role focused on conducting reviews to optimize member healthcare outcomes across Texas. This position does not involve direct patient care but requires working closely with healthcare providers to ensure high quality, cost-effective medical services.
The ideal candidate must be available for 8-hour shifts and possess experience in pediatric and chronic care management. Strong communication skills and knowledge of healthcare resources are essential.
Qualifications
- Must be a licensed Registered Nurse in Texas.
- Experience in pediatric and chronic care management preferred.
Responsibilities
- Conduct pre-service and concurrent reviews as a Registered Nurse.
- Collaborate with healthcare providers for quality member outcomes.
- Educate providers on community resources and programs.
Skills
Job description
W3R is seeking a Texas Licensed Registered Nurse for a role focused on conducting reviews to optimize member healthcare outcomes across Texas. This position does not involve direct patient care but requires working closely with healthcare providers to ensure high quality, cost-effective medical services.
The ideal candidate must be available for 8-hour shifts and possess experience in pediatric and chronic care management. Strong communication skills and knowledge of healthcare resources are essential.
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