Prior Auth Nurse

Immediate need for a talented Prior Auth Nurse. This is a 06+months contract opportunity with long-term potential and is located in Columbus, OH (Remote). Please review the job description below and contact me ASAP if you are interested.

Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.