with Medicare) 2. Utilization Review (Prior Authorization) 2. CCM Certification 3. Acute Care 3. ACLS Certification Education... Practical Nurse - State Licensure required Performs medical necessity and clinical reviews of authorization requests...
departments/areas as requested or needed for authorization review. Performs prior authorization and retrospective clinical review... clinical areas (required). 1 year utilization review, authorization or case management experience (preferred). Familiarity...