Remote RN - Pre-Service Authorization

Essentia Health; United States; Remote; USD 71,000 - 106,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) matching

Tuition reimbursement

Flexible scheduling

Generous time off

Wellness resources

Job summary

Essentia Health is seeking a Nurse Care Coordinator to manage complex referral workflows and prior authorization tasks within infusion therapy and oncology support services. You will work across clinical and administrative teams to ensure compliant, timely access to therapies for patients in the United States.

The role emphasizes collaboration with Health Plans, policy adherence, and operational efficiency, with a possible remote/hybrid work arrangement and day shifts.

Qualifications

• Current nursing licensure in state(s) of employment is required.
• BSN or ADN degree from an accredited school or college of nursing.
• Demonstrated clinical leadership and care coordination skills.
• Experience with referrals and prior authorization processes preferred.

Responsibilities

• Perform complex care coordination and referral management.
• Provide clinical expertise and leadership to Access Coordinators.
• Collaborate with customer service to resolve insurance issues efficiently.
• Support health plan initiatives and ensure compliance with policies.

Skills

Clinical leadership

Care coordination

Referral management

Education

BSN or ADN in nursing

Current nursing licensure in state(s) of employment

Job description

Essentia Health is seeking a Nurse Care Coordinator to manage complex referral workflows and prior authorization tasks within infusion therapy and oncology support services. You will work across clinical and administrative teams to ensure compliant, timely access to therapies for patients in the United States.

The role emphasizes collaboration with Health Plans, policy adherence, and operational efficiency, with a possible remote/hybrid work arrangement and day shifts.