This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join MJHS as a Pre-Authorization RN and play a vital role in ensuring timely healthcare services for our members. Utilize your nursing expertise to coordinate care and improve the quality of life for those we serve.
Key Responsibilities
Process requests for services in accordance with Medicare and NYS Medicaid Guidelines
Collaborate with Care Manager, Assessment Nurse, and Primary Care Physician
Coordinate completion of UAS NY assessment
Update Individualized Person Centered Care Plan to reflect current member status
Required Qualifications
Graduate of an accredited nursing program
Current NY RN license and registration
Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice
Preferred Qualifications
Bachelor’s degree
Knowledge with Utilization management processes
CCM certification
Prior experience in an interdisciplinary service delivery environment
Working knowledge of Medicare and Medicaid regulations