Remote Nurse: Pre-Service Authorization & Infusion Care

Essentia Health; Minnesota; Hybrid; USD 71,000 - 106,000; Full time

Benefits offered by this job

Medical insurance

401(k) plan

Tuition reimbursement

Job summary

Essentia Health in Minnesota is seeking a nurse to join the infusion therapy team to manage pre-service authorization and referral processes for oncology and related therapies.

You will review insurance policies, submit treatment plans for prior authorization, and ensure patient eligibility while collaborating with Access Coordinators and Health Plans Medical Directors. This is a full-time role with possible remote/hybrid options and comprehensive benefits.

Qualifications

• Active nursing licensure in state(s) of employment.
• BSN or ADN from an accredited nursing program.
• Willingness to work in infusion therapy and oncology referrals.

Responsibilities

• Perform pre-service authorization and referral management for infusion therapy.
• Collaborate with Access Coordinators and health plans for approval processes.
• Review policies and ensure patient eligibility before care is provided.
• Coordinate with clinical areas and business services to support operations.

Skills

Care coordination

Clinical leadership

Communication

Education

BSN or ADN

Job description

Essentia Health in Minnesota is seeking a nurse to join the infusion therapy team to manage pre-service authorization and referral processes for oncology and related therapies.

You will review insurance policies, submit treatment plans for prior authorization, and ensure patient eligibility while collaborating with Access Coordinators and Health Plans Medical Directors. This is a full-time role with possible remote/hybrid options and comprehensive benefits.