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Louisiana Licensed Pre-Authorization Nurse

Company: VirtualVocations
Location: Grand Forks
Posted on: April 6, 2025

Job Description:

A company is looking for a Pre-Authorization Registered Nurse.
Key Responsibilities

Review prior authorization requests for appropriate care and setting, making independent decisions based on guidelines and policies
Complete medical necessity and level of care reviews, educating providers on utilization and medical management processes
Enter and maintain clinical information in medical management systems while understanding departmental and organizational strategies

Required Qualifications

Active Registered Nurse License in Louisiana or eligibility for multi-state licensure
Minimum of three years of varied clinical nursing experience
Working knowledge of MS Office and ability to learn new systems quickly
Ability to work independently under general instructions and collaboratively within a team

Keywords: VirtualVocations, Grand Forks , Louisiana Licensed Pre-Authorization Nurse, Healthcare , Grand Forks, North Dakota

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