Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Manhattan, NY
1 day ago
$85k - $105k
Job Description
Join MJHS as a Pre-Authorization RN and play a vital role in ensuring high-quality healthcare for our members. Collaborate with a dedicated team to coordinate services and improve the lives of those we serve.
Key Responsibilities
Process requests for services in accordance with Medicare and NYS Medicaid Guidelines
Collaborate with Care Managers, Assessment Nurses, and Physicians to ensure timely service provision
Coordinate timely completion of UAS NY assessments
Update Individualized Person Centered Care Plans to reflect 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