Prior authorization jobs in Mission Viejo, CA

For this position we are seeking a LVN (Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review. Utilization Management and knowledge of Interqual. MCG guidelines..

WHAT YOU'LL BE RESPONSIBLE FOREnsure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally..

Years) in the Certification Exam group as an Authorization Training Supervisor (ATS) or Manager (or equivalent) at any site.Must have previous experience working directly for the CNSC..