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Clinical Review RN - Prior Authorization (Remote/Onsite
Remote / Online - Candidates ideally in
South Kingstown, Washington County, Rhode Island, 02789, USA
Listed on 2026-08-23
South Kingstown, Washington County, Rhode Island, 02789, USA
Listing for:
Medix™
Remote/Work from Home
position Listed on 2026-08-23
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Medix is seeking a Clinical Review RN for Prior Authorization, with 2 years of acute care experience and 1 year in prior authorization. The role supports Rhode Island utilization reviews and may require RI licensure or RI licensure readiness if based in NY.
The position involves reviewing inpatient cases, documenting medical necessity, and coordinating with physicians and analysts to ensure accurate authorizations. Onsite in Jericho or remote in RI is possible.
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