Key Facts

Remote From:

Austria , Louisiana (USA)

Category: Nurse

Freelance

Mid-level (2-5 years)

English

Roles & Responsibilities

Registered Nurse with current license in LA state of employment
Minimum 3 years nursing experience
Minimum of 1 year in utilization management/ prior authorization review experience

Requirements:

Provide utilization management prior authorization reviews
Build strong direct relationships with providers and medical directors
Document patient care activity and communication
Participate in on call rotation as indicated by staffing and business needs

US Tech Solutions

Human Resources, Staffing & Recruiting

About US Tech Solutions

USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce. ‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands. At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster. Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions. Explore our full range of services and solutions by visiting our website: ustechsolutions.com

Company type: Large

Industry: Human Resources, Staffing & Recruiting

Founded: 2018

Company size: 1001 - 5000

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Job description

Position Summary:
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews.
Build strong direct relationships with providers and medical directors through review of member clinical information, applying criteria, and completing authorization determinations in accordance with company policies and procedures, Document patient care activity and communication with the, provider and medical director. Participate in on call rotation as indicated by staffing and business needs.

Duties:

Registered Nurse with current license in LA state of employment. Additional licensure may be required in multi-state service areas.
Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience.

Experience:
Utilization Management. Prior Authorization Review experience

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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