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in Fort Lauderdale, FL
Registered Nurse- Prior Authorization/Utilization Review
Hours | Full-time, Part-time |
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Location | Fort Lauderdale, FL Fort Lauderdale, Florida |
About this job
Our client is hiring for Prior Authorization or Utilization Review Registered Nurses.
Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, skilled care and specialty procedures for Medicaid members in the state of Florida.
*Review provider requests through fax or telephone to ensure medical necessity for services requiring preauthorization
*Utilize nationally recognized criteria to determine medical necessity of services requested
*Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria
*Act as a clinical resource to referral staff
Required to understand medical necessity requirements and handle between 25-30 cases per week. Must be available to work an 8 hour shift between 8am to 8pm
About Aerotek:
Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.