Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Astoria, NY
1 day ago
$80k - $100k
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Job Description
Join MJHS as a Pre-Authorization RN, where you'll play a vital role in ensuring high-quality healthcare services for our members. Collaborate with a dedicated team to process service requests and enhance the quality of care for those in need.
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 assessment
Ensure Individualized Person Centered Care Plan is updated accurately
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 in nursing
Knowledge with Utilization management processes
CCM certification
Prior experience in an interdisciplinary service delivery environment
Working knowledge of Medicare and Medicaid regulations