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  • Prior Authorization Nurse

    Honolulu, HI 96817

    Posted: 09/26/2018 Industry: Licensed Practical Nurse / Licensed Vocational Nurse (LPN/LV Pay Rate: $31/hr

    Express Healthcare is looking for a LPN for a great local company servicing National Medicare Health Plans! This great opportunity is a Monday through Friday and requires one Saturday of the month. For more information please call, 808-447-7404.

    Prior Authorization Nurse Job Duties

    Perform telephonic review of prior authorization requests for appropriate care and setting

    Creates member benefit plan by reviewing medical records and communicating with Utilization and Care Management team

    Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care

    Prior Authorization Nurse Requirements

    Bachelor’s degree or one to two years of related experience or training

    State of Hawaii LPN License

    Minimum three (3) years of clinical experience in an acute care facility

    State of Hawaii Driver’s License and proof of auto insurance

     

    To apply, please reply to this ad with an updated resume or call 808-447-7404 for more information

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