About this role
Authorization Nurse RN 26-66 at Primed. Location: San Ramon or Stockton. Role: reviewing authorizations, obtaining information, communicating status Requirements: Active CA RN or LVN license required, minimum 3 years clinical nursing experience, utilization/managed care experience preferred, knowledge of ICD-10/CPT and medical necessity criteria, strong communication and PC skills. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Milliman Care Guidelines, Hill Guidelines, Health Plan Criteria, ICD-10, CPT Certifications: rn, lvn, managed care Commitment: Full Time Workplace: Onsite Languages: English