eurosoft inc.

US-TX-Dallas: Prior Authorization RN, TX licensed RN, Utilization Mgmnt, Medicai (45302657613)
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Position: Prior Authorization RN
Reference: SMC01363
Location: Dallas TX
Duration:

Skills: Ability to fully understand and apply concepts, practices
and procedures related to field/area of work, typically
acquired through an Associate¡¦s degree or 3-5 years of
job-related experience.

Specific experience/knowledge requirements:
TX State licensed RN with 3-5 years experience.
Familiarity with utilization management principles, diagnosis,
coding, Inerqual and Milliman & Roberts and healthcare management
systems.
Medicaid program experience.
Organizational, communication and computer literate.


Scope: Performs prior authorization. Reviews PA requests and
approves according to established criteria and protocols.
Maintains appropriate do***entation and support for all
requests. Prepares do***entation and support and presents
potential denials to the Medical Director and
develops/reviews denial letters.


Please send your current resume in confidence to <staffing@eurosoft-inc.com>

..45302657613.