What are the responsibilities and job description for the Registered Nurse position at Siri InfoSolutions, Inc.?
Registered Nurse(RN)
Remote (Candidates must be based in Missouri (MO)
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.