RN Pre-Service Authorization

3 weeks ago


Duluth, United States Essentia Health Full time

Job Description
Job Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and revising Essentia Health’s established policies and procedures for managed care activities. Performs complex care coordination and referral management. Works collaboratively with the Essentia Health customer service personnel to provide efficient service for insurance issue resolution and smooth operations. Works collaboratively with clinical areas and business services both internally and externally. Supports efforts and participates with the Supervisor of Contracting & Payor Relations and the Health Plans Medical Directors regarding health care initiatives and compliance issues for health plans.
Education Qualifications:

BSN or ADN degree from an accredited school or college of nursing

Be a part of a Healthcare organization that invests in you and your career.

Apply now and help us continue to raise the bar in patient care


Licensure/Certification Qualifications:

Current nursing licensure in state(s) of employment


Our Benefits are exceptional and Include:

  • Tuition Reimbursement/Assistance Program
  • Paid Personal Leave
  • 401k (with Essentia Health annual match)
  • Life and Disability Insurance options
  • Adoption Assistance
  • Employee wellness program
  • Medical & Dental insurance options

***

Like nowhere else:

To learn more about Duluth and our surrounding areas:


Job Location: Business Service Center

Shift Rotation: Day Rotation (United States of America)

Shift Start/End: Day/Day

Hours Per Pay Period:
Compensation Range: $33.21 - $49.82 / hour

Union:
FTE: 0

Weekends:
Call Obligations:
Sign On Bonus:


  • Duluth, MN, United States Essentia Health Full time

    Job Description Job Description: Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, MN, United States Essentia Health Full time

    RN Pre-Service Authorization at Essentia Health summary: The RN Pre-Service Authorization role involves conducting Managed Care Programs in collaboration with third-party administrators, providing clinical expertise to Access Coordinators, and managing the referral and authorization processes. This position includes care coordination, working with various...


  • duluth, United States Essentia Health Full time

    RN Pre-Service Authorization at Essentia Health summary: The RN Pre-Service Authorization role involves conducting Managed Care Programs in collaboration with third-party administrators, providing clinical expertise to Access Coordinators, and managing the referral and authorization processes. This position includes care coordination, working with...


  • Duluth, United States Essentia Health Full time

    Building Location: Business Service Center Department: 48850 Prior Authorization Job Description: Conducts Managed Care Programs in conjunction with third party administrators' health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the...


  • Duluth, United States Essentia Health Full time

    Building Location:Business Service CenterDepartment:48850 Prior AuthorizationJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral,...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job Description Job Description: Conducts Managed Care Programs in conjunction with third party administrators' health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, MN, United States Essentia Health Full time

    Building Location: Business Service Center Department: 48850 Prior Authorization Job Description: Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the...


  • Duluth, MN, United States Essentia Health Full time

    Job Description Job Description: Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, MN, United States Essentia Health Full time

    Job Description Job Description: Conducts Managed Care Programs in conjunction with third party administrators' health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, MN, United States Essentia Health Full time

    Job Description Job Description: Conducts Managed Care Programs in conjunction with third party administrators' health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • duluth, United States Essentia Health Full time

    Job DescriptionJob Description:Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and...


  • Duluth, United States PEACHTREE CHRISTIAN HEALTH INC Full time

    Job DescriptionFull time paid position. Hours 7:30 am - 4:30 pm.MAJOR FUNCTIONSWork in conjunction with Center Director-RN to ensure participant records are accurate, up to date, and confidentialAdminister medications to participants and monitor these medicationsProvide health education and counseling to the participants and their families, when indicated in...

  • Intake Coordinator

    2 weeks ago


    Duluth, United States BrightSpring Health Services Full time

    Intake CoordinatorJob LocationsUS-GA-DULUTHIDLine of BusinessAmeritaPosition TypeFull-TimeOur CompanyAmeritaOverviewAmerita‘s intake coordinator are responsible for working in coordination with the sales and pharmacy teams process patient referrals and admissions in a timely manner. Intake coordinators must gather necessary patient information to create...


  • Duluth, Minnesota, United States Sherwin-Williams Full time

    Job SummaryWe are seeking a skilled Customer Service Specialist to join our team at Sherwin-Williams' Duluth store. As a key member of our retail staff, you will be responsible for providing exceptional sales service to customers, building trust relationships, and maintaining high levels of customer satisfaction.ResponsibilitiesProvide outstanding sales...