Join MJHS as a Pre-Authorization LPN, where you will play a vital role in ensuring timely processing of elective service requests and maintaining continuity of care for our members. This position offers an opportunity to work in a supportive environment focused on high-quality healthcare delivery.
Key Responsibilities
Process all requests for elective services in accordance with departmental criteria and guidelines
Communicate all elective hospital admissions to the appropriate Utilization Management Coordinator and/or Care Manager
Required Qualifications
Graduate of an accredited Practical Nursing Program
Current LPN NY license and registration
1-3 years Medical/Surgical nursing experience
Excellent written and oral communication skills
Good analytical abilities
Preferred Qualifications
Prior managed care experience
Familiarity with Utilization management processes
Working knowledge of Windows, Word and Excel
Knowledge of current standards of medical practice and healthcare delivery systems