Clinical Authorization Specialist

Job description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Support the authorization department through utilization of clinical knowledge with associated treatments. Provides analysis of medical records to determine medical necessity in the clinical record and provides feedback to the providers and clinical team. Navigates high dollar treatments and provides additional clinical support as well as potential patient contact. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent. 2. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC). EXPERIENCE: 1. Two (2) years of healthcare experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate or advanced degree. 2. Current Registered Nurse license issued by the state in which services will be provided o...