Florida and Tennessee RN Clinical Coordinator

A company is looking for a Prior Authorization Clinical Review Coordinator.

Key Responsibilities

Review prior-authorization requests for post-acute levels of care based on medical necessity and InterQual criteria

Request and analyze clinical information from providers and educate stakeholders on guidelines and benefits

Collaborate with team members to ensure appropriate transitions of care and meet performance metrics

Required Qualifications

Active and unrestricted RN license

3+ years of clinical experience in an inpatient / acute setting

Experience in prior-authorization review

Proficient computer skills and high level of organizational skills

Ability to manage time independently and adapt to change