Prior Auth RN — Clinical Review & UM Specialist; Hybrid
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Nursing
Job Description & How to Apply Below
Arizona Priority Care (AZPC) is a Chandler, AZ-based Integrated Provider Network focused on value-based care for Senior and Medicaid populations. The Prior Authorization Registered Nurse (RN) conducts initial clinical reviews, pre-screens requests, applies eligibility criteria, and prepares cases for UM review in collaboration with Medical Directors.
Responsibilities include handling queues, drafting denial letters that comply with CMS and policies, and maintaining 98% accuracy while processing
We are seeking a motivated Prior Auth RN — Clinical Review & UM Specialist (Hybrid) to join Arizona-Priority-Care in Chandler, AZ, United States.
We appreciate your interest in this position.
Join Arizona-Priority-Care and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Prior Auth RN — Clinical Review & UM Specialist (Hybrid) role at Arizona-Priority-Care, based in Chandler, AZ, United States.
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