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Kentucky Licensed Pre-Authorization Nurse

Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025

Job Description:

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

Review prior authorization requests and determine appropriate care and setting
Conduct medical necessity and level of care reviews using clinical judgment
Educate providers on utilization and medical management processes

Required Qualifications

Licensed Registered Nurse (RN) in Kentucky with no disciplinary action
Minimum 3 years of experience as a nurse in a clinical setting
Strong proficiency with MS Office Suite and ability to learn multiple systems
Experience with the development and implementation of policies and procedures

Keywords: VirtualVocations, Glendora , Kentucky Licensed Pre-Authorization Nurse, Healthcare , Vista, California

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