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Pre-Authorization Nurse LPN

MJHS

Chinatown, NY
4 days ago
$60k - $75k

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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 Nurse LPN, where you'll play a vital role in processing elective medical service requests and ensuring high-quality, patient-centered care for Medicare and Medicaid members. Your expertise will help maintain independence for patients while navigating the complexities of healthcare compliance.

Key Responsibilities

  • Process requests for elective medical services
  • Ensure compliance with departmental guidelines
  • Facilitate communication between hospital admissions and care management teams
  • Communicate elective hospital admissions to Utilization Management Coordinator and/or Care Manager

Required Qualifications

  • Current LPN NY license and registration
  • Graduate of an accredited Practical Nursing Program
  • 1-3 years Medical/Surgical nursing experience

Preferred Qualifications

  • Prior managed care experience
  • Familiarity with Utilization management processes
  • Working knowledge of Windows, Word, and Excel

Benefits & Perks