RN Prior Authorization Nurse - Medicaid (Remote AZ)
Blue(2 months ago)
About this role
A Registered Nurse in Prior Authorization Management at Blue Cross Blue Shield of Arizona ensures prior authorization decisions align with evidence-based standards and contractual requirements to support member care and regulatory compliance. The role operates within the insurer’s clinical review function and contributes to quality and audit readiness. This is a full-time remote position requiring residency and work performed within the State of Arizona.
Required Skills
- Prior Authorization
- Clinical Review
- Chart Review
- Physician Communication
- Evidence-Based
- Project Management
- Auditing
- Staff Training
- EMR Systems
- Quality Improvement
+2 more
Qualifications
- Associate Degree in Nursing
- Active Nursing License (AZ) — RN or LPN
- Bachelor's Degree in Nursing (Preferred)
About Blue
azblue.comBe your healthiest with Blue Cross Blue Shield of Arizona. Find health insurance plans for all health concerns and budgets for individuals, families, and businesses.
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