Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Bath County, VA
1 day ago
$70k - $90k
Job Description
Join MJHS as a Pre-Authorization RN and play a crucial role in ensuring high-quality healthcare for our members. Collaborate with a dedicated team to process service requests and maintain individualized care plans.
Key Responsibilities
Process 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 assessments
Update and maintain Individualized Person Centered Care Plans
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