UM Prior Authorization Nurse: Medical Necessity Expert

Seven Counties is seeking a dedicated LPN or RN with extensive clinical experience to join our utilization case management team. The role focuses on reviewing cases, applying medical criteria, and coordinating authorizations with MCOs, Medicare, and insurers to ensure medical necessity.

You will work with site providers, nurses, pharmacies, and payors to advocate for clients, educate on formulary requirements, and maintain thorough documentation. A Kentucky nursing license is required.

This is a great role to take on the UM Prior Authorization Nurse:
Medical Necessity Expert role at Seven Counties.

The UM Prior Authorization Nurse:
Medical Necessity Expert role at Seven Counties is now open for applications in Louisville, KY, United States.

Join us at Seven Counties as our next UM Prior Authorization Nurse:
Medical Necessity Expert in Louisville, KY, United States.