Healthcare Consultant-Prior Authorization Nurse

Location: Orlando
Posted on: November 9, 2024

Job Description:

Healthcare Consultant I - Prior Authorization Nurse

Temp 3-4 months

Pay - $18.51

- Utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations

- Requires LPN/LVN with unrestricted active license.

Prescription medications are becoming increasingly expensive and are often associated with a high side effect risk profile. New advancements in specialty medication therapy have resulted in breakthrough treatments for complex diseases. The Specialty Medical Precertification program is a medication management program that helps ensure prescribing compliance by comparing the medication request against medical necessity requirements using Clinical Policy Bulletins.

The Specialty Precertification team is expanding at a rapid rate to help ensure appropriate utilization and improve patient outcomes. We are looking for nurses to manage the utilization of the specialty drugs on the National Precert List and follow AETNA Clinical Policy Guidelines

We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Pinellas Park , Healthcare Consultant-Prior Authorization Nurse, Healthcare , Orlando, Florida