Healthcare Consultant-Prior Authorization Nurse Position Available In Orange, Florida

Job Description:

Healthcare Consultant I

• Prior Authorization Nurse Temp 3-4 months Pay
• $18.51
• Utilizes clinical skills to support the coordination,documentation and communication of medical services and/or benefitadministration determinations
• Requires LPN/LVN with unrestricted active license.

Prescription medications are becoming increasingly expensive andare often associated with a high side effect risk profile. Newadvancements in specialty medication therapy have resulted inbreakthrough treatments for complex diseases. The Specialty MedicalPrecertification program is a medication management program thathelps ensure prescribing compliance by comparing the medicationrequest against medical necessity requirements using ClinicalPolicy Bulletins. The Specialty Precertification team is expanding at a rapid rate tohelp ensure appropriate utilization and improve patient outcomes.

We are looking for nurses to manage the utilization of thespecialty drugs on the National Precert List and follow AETNAClinical Policy Guidelines We are an equal employment opportunity employer and will considerall qualified candidates without regard to disability or protectedveteran status.