What are the responsibilities and job description for the Clinical Nurse Reviewer – Pharmacy position at Siri InfoSolutions, Inc.?
Job Title: Pharmacy secondary level
Location: Remote (Candidates must be based in Missouri (MO))
Contract
Must Have- Registered Nurse with an Active Missouri Nursing License
Job description:
Responsible for working with healthcare professionals to review drug authorization requests
Review decisions are based on MHD policy and professional nursing judgment and experience.
Work in multiple systems to identify information pertinent to accurately perform drug prior authorization reviews.
This position will assist with providing education and acts as a team lead to call center staff.
Must understand algorithms and clinical rules associated with the medication under review in order to make a final decision regarding pre-certification of a medication.
Perform reviews for incoming drug prior authorization requests via fax and some telephone.
Experience:
Registered Nurse with an Active Missouri Nursing License
Bachelor's degree in nursing with a least one year of professional nursing experience or;
Graduate of school of nursing with at least two years of professional nursing experience
Varied nursing background and experience (hospital, physician's office, outpatient facility, URA etc)
Computer Skills and Utilization Review experience, desired.
Candidate must have excellent written and verbal communication skills.
Salary : $25 - $30