PHRN - Clinical Admin

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Admin Nurse / Prior Authorization Nurse will require ability to read through clinical information, interpret guidelines and provide recommendation to the physician if medication will not meet criteria for Prior Auth before sending request to Payer. The Clinical Admin Nurse / Prior Authorization Nurse needs to communicate the decision (via phone) to members whether the drug has b...