Now hiring for a Top Healthcare / Managed Care company in West Allis, WI (Starting Remote) whom are in need of an experienced Prior Authorization Nurse

…patients and identifying Veterans at risk for uncoordinated careAssists in co- managed care collaboration with non-VA providers, and facilities.Provides patient

…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care

…monitoring tools- InterQual, Milliman Care Guidelines (MCG), principles of Managed Care , Computer applications, including but not limited to: Windows,

…in.Required Qualifications: Unrestricted RN license required in state of residence 3+ years of Managed Care and/or Clinical experience If you need to enter a

…working as an RN Reside in a compact RN license state A background in managed care (MCO) or insurance setting Case Management experience Certified Case Manager

…home infusion center, and physicians to coordinate services and plans for patient care Monitors the productivity metrics of managed staff Provides in-services on

…A' A' A' A' Registered Nurse Required with 1-3 yrs experience in a Managed Care environment, and/or recent experience in an acute- care environment; or

…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care

…delivery of patient care services, including but not limited to Medicare, Managed care , Medicaid, third party providers, challenges to current health care