Prior Authorizations, Case Manager (LVN/RN)

Job description

Position Summary: The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness of medical care by applying clinical judgement and the appropriate application of policies and guidelines to prior authorization referral requests. The Prior Authorization Review Nurse, LVN/RN will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If not indicated, they will forward requests to the appropriate physician or medical director with recommendations for other determinations, ensuring that the member is receiving the appropriate quality care in a preferred setting, while making sure regulatory guidelines are followed. Essential Duties and Responsibilities include the following: - Understand, promote and review with the principles of medical management to facilitate the right care at the right time in the right setting. - Communicate effectively and interact with providers, staff and health plans daily or as indicated regarding medical management and referral authorization issues. - Maintain a working relationship with Prior Authorization Case Management (PACM) colleagues, the prior-autho...