Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services. In this fully remote role, you will review prior authorization requests and determine medical necessity for Personal Care Services and Private Duty Nursing within Medicaid programs.
You will adjudicate requests, evaluate clinical documentation, enter determinations into MMIS, educate providers, and collaborate with leadership and state stakeholders to support program objectives.
#J-18808-LjbffrRemote RN: Prior Authorization & Medical Review Expert in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.