Remote RN: Prior Authorization & Medical Review Expert
Lorain, Lorain County, Ohio, 44052, USA
Listed on 2026-11-05
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Healthcare
Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services. In this fully remote role, you will review prior authorization requests and determine medical necessity for Personal Care Services and Private Duty Nursing within Medicaid programs.
You will adjudicate requests, evaluate clinical documentation, enter determinations into MMIS, educate providers, and collaborate with leadership and state stakeholders to support program objectives.
For the Remote RN:
Prior Authorization & Medical Review Expert position at Gainwell Technologies LLC, we are reviewing applications now.
Join Gainwell Technologies LLC 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 Remote RN:
Prior Authorization & Medical Review Expert role at Gainwell Technologies LLC, based in Columbus, OH, United States.
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