Previous hospital experience preferred but not required, day evening night hours full and part time. This is a fully automated decentralized facility with strong clinical emphasis.
Interprets clinical information submitted by requesting physician (or physician representative) along with information in the patient's medical records to make determinations or recommend determinations of medical necessity Enters authorizations into the appropriate system to ensure accurate claims processing. Provides explanations and interpretations within area of expertise to assist with the peer to peer process. Interacts with providers to gain additional clinical information when needed. Benefits include: Tuition reimbursement. Relocation assistance provided. Excellent benefits competitive salaries and relocation assistance.
• EDUCATION: VA State Pharmacy license required or eligible.
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