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Clinical - Clinical Review Nurse - Prior Authorization
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- Time zone flexible) 8-5 other than Saturday / Sunday where hours can range from (4) – (10) hours maximum.
- Thursday, Friday, Saturday, Sunday
- Saturday, Sunday, Monday, Friday
- LPN - Licensed Practical Nurse - State Licensure requiredPerforms medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
- Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
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