PRIOR AUTHORIZATION RN / LPN - SCC PRIMARY CARE SERVICES
South Central Regional Medical Center•Laurel, MS
•Onsite
About The Position
Manages medication prior authorizations and patient assistance programs; coordinates with providers, insurers, and manufacturers; documents and monitors approvals, appeals, and renewals; ensures HIPAA compliance.
Requirements
- Active RN or LPN
- Experience in prior authorization/case management/utilization review
- EMR proficiency
Nice To Haves
- Experience in primary/specialty clinics
- Familiarity with SCRMC processes
Responsibilities
- Complete prior auth requests and submissions.
- Establish/maintain manufacturer drug programs.
- Communicate with insurers, manufacturers, providers, and patients.
- Track outcomes; manage appeals.
- Collaborate with pharmacy/billing/clinical teams.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
