Remote Prior Authorization Coordinator - Medical Necessity

Community Health Network of Connecticut, Inc. is seeking a Prior Authorization Coordinator in Wallingford, CT. The role focuses on medical necessity reviews, benefit determinations, and coordination of authorizations for CHNCT members.

You will engage with providers, utilize InterQual/Medicaid criteria, and prepare denial letters while supporting education of clinicians and staff. A licensed practical nurse with 3–5 years of experience is preferred.