Clinical Review Nurse - Prior Authorization

Job Title:Clinical Review Nurse - Prior Authorization - J00927Address:Clayton, MOJob Description Review clinical documentation for prior authorization requests.Assess the necessity and appropriateness of requested services.Collaborate with healthcare providers to clarify patient information.Utilize clinical knowledge to make informed decisions on authorization.Document review findings and communicate decisions effectively. Critical Information Remote position. Education/Licenses Needed Registered Nurse (RN) license required.Bachelor's degree in Nursing or related field preferred. Benefits: Benefits are available to full-time employees after 90 days of employment.A 401(k) with company match is available after 1 year of service.This is an AI-formatted job description; recruiter confirmation required.

Created: 2026-03-06