Actalent is seeking an experienced Registered Nurse to join a remote Prior Authorization team supporting Dual Eligible populations. You will review outpatient requests, assess medical necessity, apply guidelines, and ensure timely access to care.
The role requires strong collaboration with providers and medical directors in a fast-paced environment. The ideal candidate has 2-4 years in clinical review or utilization management, holds an RN license, and is capable of navigating health management
#J-18808-LjbffrRemote Prior Authorization RN: Clinical Review Pro in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.