Oregon Licensed Clinical Review Nurse in Lake Charles, LA

A company is looking for a Clinical Review Nurse - Prior Authorization. Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coordinate with healthcare providers and interdepartmental teams to ensure timely review and authorization of services Document and maintain clinical information in health management systems to ensure compliance with regulatory guidelines Required Qualifications Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing 2 - 4 years of related experience LPN - Licensed Practical Nurse - State Licensure required Clinical knowledge and ability to analyze authorization requests preferred Knowledge of Medicare and Medicaid regulations preferred