POSITION SUMMARY
Reports to the UM Manager. This position is a position for a California Licensed Nurse whose primary responsibilities are to perform the prospective and retrospective review of the requests for service authorizations in order to monitor the continuity and coordination of care and to assist in the utilization of appropriate services. The Prior authorization Nurse conducts these reviews of authorization requests to verify accurate provider specialties, medical treatments and services, place of service and or facilities. Also oversees the Prior Authorization Coordinators to direct appropriate utilization and data.
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JOB REQUIREMENTS
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