Prior Authorization Nurse

JOB SUMMARY

Performs a variety of duties related to obtaining prior authorization required by insurance companies for outpatient infusions. The Prior Authorization (PA) Nurse will be responsible for ensuring all infusion prior authorizations are completed across the organization, as well as, facilitating procedure-related prior authorizations that have escalated to a peer-to-peer or clinical appeal level. The PA Nurse will be responsible for providing the necessary supporting documentation in collaboration with a group of diverse health care providers. This individual must have strong organization skills, attention to detail and customer service skills. This individual will be expected to satisfy internal and external customer’s perceived needs.

EDUCATION

BSN or ADN from an accredited school of nursing and current licensure as a registered professional nurse in the State of Alabama required.

EXPERIENCE

Minimum five years of nursing experience. Minimum of one year of medication prior authorization experience preferred.

Additional Information