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California Licensed Clinical Review RN

Company: VirtualVocations
Location: Wichita
Posted on: March 4, 2025

Job Description:

A company is looking for a Senior Clinical Review RN - Prior Authorization.
Key Responsibilities

Reviews prior authorization requests to determine medical necessity and appropriate level of care
Collaborates with healthcare providers to ensure timely review and authorization of services
Manages service authorization requests related to member transfers or discharges

Required Qualifications

Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing
4 - 6 years of related experience
RN license required for California
Advanced clinical knowledge preferred
Strong knowledge of Medicare and Medicaid regulations preferred

Keywords: VirtualVocations, Wichita , California Licensed Clinical Review RN, Healthcare , Wichita, Kansas

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