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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