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Mercycare

RN: Medication Access & Prior Authorization Specialist

northern, KY

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About this opportunity

Mercycare lists this RN: Medication Access & Prior Authorization Specialist opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Mercy is seeking an experienced RN with specialty/ambulatory care background to manage medication access, prior authorizations, denials, and appeals. You will coordinate with providers, patients, payers and pharmacies to ensure timely therapy initiation and ongoing management.

The ideal candidate has gastroenterology or specialty nursing experience, familiarity with biologics and high-cost medications, and knowledge of PBMs, CoverMyMeds, and EHR workflows to track access from request to approval.

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