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Clinical Review Nurse - Prior Authorization

Job in St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: A-Line Staffing Solutions
Full Time position
Listed on 2026-09-04
Job specializations:
  • Nursing
    RN Nurse, Nurse Educator
Salary/Wage Range or Industry Benchmark: 65000 - 75000 USD Yearly USD 65000.00 75000.00 YEAR
Job Description & How to Apply Below
Location: St. Louis

Job Title:

Clinical Review Nurse - Prior Authorization - J00927 Address:
Various, MO

Job Description Perform clinical reviews for prior authorization requests. Ensure compliance with medical guidelines and protocols. Collaborate with healthcare providers to gather necessary information. Evaluate and document clinical necessity of requested services. Identify trends and provide feedback for quality improvement.

Critical Information

On-site position with standard business hours.

Education/Licenses Needed

Registered Nurse (RN) license required. Bachelor's degree in Nursing or related field preferred.

Benefits
  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with company match is available after 1 year of service.

This is an AI-formatted job description; recruiter confirmation required.

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