RN Pre-Service Authorization & Infusion Care (Remote)

Essentia Health; Duluth (MN); À distance; USD 71 000 - 106 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision insurance

401(k) plan with employer contribution

Tuition reimbursement

Flexible scheduling

Résumé du poste

Essentia Health in Duluth, MN is hiring for a Health Services professional to conduct Managed Care Programs in coordination with third party administrators. You will help implement referral, prior authorization, and precertification processes using Essentia Health policies.

The role requires nursing licensure and a BSN or ADN, with potential remote/hybrid work. You will collaborate with Access Coordinators, nursing teams, and Health Plan Medical Directors to ensure compliant, efficient care

Qualifications

• Current nursing licensure in state(s) of employment.
• BSN or ADN degree from an accredited school or college of nursing.

Responsabilités

• Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements.
• Performs complex care coordination and referral management with Access Coordinators.
• Supports insurance issue resolution and compliant operations with health plans.

Connaissances

Clinical coordination

Team collaboration

Formation

BSN or ADN degree

Description du poste

Essentia Health in Duluth, MN is hiring for a Health Services professional to conduct Managed Care Programs in coordination with third party administrators. You will help implement referral, prior authorization, and precertification processes using Essentia Health policies.

The role requires nursing licensure and a BSN or ADN, with potential remote/hybrid work. You will collaborate with Access Coordinators, nursing teams, and Health Plan Medical Directors to ensure compliant, efficient care