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Pre-Authorization Nurse LPN

MJHS

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

This Job Position Has Expired

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 and play a vital role in processing requests for elective medical services while ensuring high-quality, patient-centered care. Your expertise will help maintain independence for members under Medicare and Medicaid managed care health plans.

Key Responsibilities

  • Process requests for elective medical services
  • Ensure compliance with departmental guidelines
  • Facilitate communication between hospital admissions and care management teams
  • Communicate all elective hospital admissions to the appropriate 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
  • Knowledge of current standards of medical practice and healthcare delivery systems

Preferred Qualifications

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

Benefits & Perks