Prior Authorization Nurse

Company Job Description/Day to Day Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care 

Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.

Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.