Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
MJHS
Woodhaven, NY
4 days ago
$80k - $100k
Job Description
Join MJHS as a Pre-Authorization RN and play a vital role in ensuring high-quality healthcare for our members. You'll collaborate with interdisciplinary teams to provide essential services and support to those in need.
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 to ensure timely provision of services
Coordinate timely completion of UAS NY assessment
Update and maintain the member’s 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
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