Registered Nurse - Care Review and Prior Authorization Specialist in Doral, FL

A leading healthcare provider is looking for an experienced Registered Nurse to join their team as a Care Review and Prior Authorization Specialist. In this essential role, you will manage clinical member services while ensuring strict adherence to healthcare policies. Your expertise will be crucial in analyzing requests and collaborating with multidisciplinary teams to enhance patient outcomes. If you are a proactive RN with a strong background in healthcare, this is an excellent opportunity to make a significant impact in patient care. The position offers competitive hourly pay and a comprehensive benefits package. Key Responsibilities: • Analyze clinical requests for prior authorization. • Coordinate with various healthcare teams to improve patient services. • Monitor compliance with healthcare regulations. • Provide clinical support and guidance to members and providers. Qualified candidates should possess an active RN license and relevant experience in the healthcare field.