Clinical Pre-authorisation Specialist- Enrolled Nurse

Introduction Purpose of the Job Responsible for loading new authorisations and basic telephonic management of cases, which are monitored from admission through to discharge so that there is complete understanding of patient progress. Duties & Responsibilities 1. Preauthorise member’s admission to hospital as per scheme protocols and funding guidelines. 2. Accurately obtain and capture authorisation information to confirm correct funding. 3. Interrogate codes and include savings in daily pre-aut…