RN - Prior Authorizations & Discharge Coordination

Healthcare Support Staffing; Miami (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare recruiting firm is seeking a qualified individual to support facility reviews and discharge planning in Miami, Florida. Responsibilities include coordinating service authorizations, facilitating care transitions, and ensuring operational efficiency. The ideal candidate will have a current Florida RN license and 3 years of experience in case management or prior authorization. Familiarity with Interqual standards and a background in community health are preferred. Join a dynamic team focused on patient-centered care.

Qualifications

• 3+ years of experience in Prior Authorization or concurrent review.
• Experience in case management for health plans or managed care companies.
• Community and public health experience preferred.

Responsibilities

• Conducts facility on-site and telephonic concurrent reviews.
• Supports discharge planning and service coordination.
• Collaborates with care coordination partners.

Skills

Interqual experience

Prior Authorization or concurrent review

Case management

Knowledge of Windows and Microsoft Office applications

Community health experience

Public health experience

Education

Current and unrestricted Florida RN license

Job description

A healthcare recruiting firm is seeking a qualified individual to support facility reviews and discharge planning in Miami, Florida. Responsibilities include coordinating service authorizations, facilitating care transitions, and ensuring operational efficiency. The ideal candidate will have a current Florida RN license and 3 years of experience in case management or prior authorization. Familiarity with Interqual standards and a background in community health are preferred. Join a dynamic team focused on patient-centered care.