Authorization Management Clinical Reviewer
WellSky(1 month ago)
About this role
An Authorization Management Clinical Reviewer at WellSky validates acute and post-acute authorization requests against InterQual guidelines to support appropriate, high-quality, and cost-effective patient care. The role partners with physicians, case managers, and external stakeholders and requires an active RN license and acute-care clinical experience.
Required Skills
- InterQual
- Utilization Management
- Clinical Review
- Acute Care
- CarePort
- Microsoft Office
- Prior Authorization
- Communication
Qualifications
- Bachelor's Degree
- Active RN License
- State RN Licensure (as needed)
About WellSky
wellsky.comWelcome to WellSky® Creating smarter solutions for whole person care. Explore our offerings today!
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