Prior Authorization/Clinical Review Registered Nurse (RN)
Compensation
From $80k /yr
Employment type
Full-time
Work setting
On-site
Location
Elk Grove Village, IL
Schedule
Day shift
Posted
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Job overview
The Prior Authorization/Clinical Review Registered Nurse (RN) is an onsite, full-time position based in Elk Grove Village, IL, with a stated salary of $80,000 per year. Orsini supports patient access to specialty pharmacy and rare-disease therapies through its pharmacy and patient-service offerings. The RN reviews clinical documentation, evaluates medical necessity, and obtains timely authorizations for prescribed medications, treatments, and procedures. The role coordinates with prescribers, payers, patients, and internal pharmacy teams to navigate authorization requirements and help prevent treatment delays.
What you'll do
- Review clinical documentation and medical necessity
- prepare and submit authorization requests for specialty medications, infusions, and related therapies
- communicate with insurers, physician offices, patients, and internal departments
- document interactions and decisions
- monitor pending authorizations
- stay current on payer requirements and regulations
- protect confidentiality and comply with HIPAA
- and participate in workflow quality improvement.
What we're looking for
- Skills & competencies
- registered nurse (rn)prior authorizationclinical revieworsini healthcareelk grove village ilspecialty pharmacyrare diseasemedical necessityutilization reviewillinois rn licensehipaa$80k per year
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, dental, and vision coverage
- 401(k) with employer match
- accident and critical illness coverage
- generous PTO, paid holidays, and floating holidays
- company-paid life insurance options
- and tuition reimbursement.
Why this role
Requires an active, unencumbered Illinois RN license, an associate degree, two or more years of clinical nursing experience, and one or more years in prior authorization, utilization review, case management, or a related role. Specialty pharmacy, infusion, rare-disease coordination, managed care, and CoverMyMeds experience are preferred.
About the employer
Orsini Healthcare is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Offices of All Other Miscellaneous Health Practitioners
- Occupation code
- 29-1141.00
You'll be redirected to the employer's application page.
Listing ID: 53a31323-0c47-4c42-bf20-f0baf7c28c4d