Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Slope County, ND
1 day ago
$60k - $80k
Job Description
Join MJHS as a Pre-Authorization RN and play a crucial role in ensuring quality healthcare services for our members. Utilize your nursing expertise to process service requests and collaborate with healthcare professionals to enhance patient care.
Key Responsibilities
Process all requests for services in accordance with Medicare and NYS Medicaid Guidelines
Collaborate with Care Manager, Assessment Nurse, and Primary Care Physician
Coordinate timely completion of UAS NY assessments
Ensure Individualized Person Centered Care Plans are updated
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
Strong assessment skills
Preferred Qualifications
Bachelor’s degree in nursing
Knowledge with Utilization management processes
CCM certification
Prior experience in an interdisciplinary service delivery environment
Working knowledge of Medicare and Medicaid regulations