Prior Authorization Nurse
Hill Physicians Medical Group•San Ramon, CA
399d•$108,000 - $110,000•Remote
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About The Position
The Authorization Nurse will evaluate authorization requests and authorize, modify, or pend them according to established medical necessity, benefit, and eligibility criteria. This role is crucial in ensuring appropriate, efficient, and timely medical care by collaborating with medical directors and other physician leaders, as well as communicating with providers and members regarding the status of authorization requests. The position is hybrid, allowing for remote work in San Ramon or Sacramento, CA.
