Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Kensington, NY
10 hours ago
$80k - $100k
Job Description
Join MJHS as a Pre-Authorization RN and play a vital role in enhancing the quality of healthcare for our members. Leverage your nursing expertise to ensure timely services and support our mission of independence for patients.
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
Update and ensure accuracy of Individualized Person Centered Care Plan
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
Strong assessment skills
Preferred Qualifications
Bachelor’s degree
Knowledge with Utilization management processes
CCM certification
Prior experience in an interdisciplinary service delivery environment
Working knowledge of Medicare and Medicaid regulations