RN Pre-Service Authorization
3 weeks ago
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:
RN Pre-Service Authorization at Essentia Health summary:
The RN Pre-Service Authorization role involves conducting Managed Care Programs in collaboration with third-party health care administrators. This position entails managing complex care coordination and referral processes, ensuring efficient service and compliance with healthcare agreements. The role is vital in enhancing patient care and operational efficiency within the healthcare organization.
Keywords:
RN, Pre-Service Authorization, managed care, healthcare, care coordination, referral management, clinical expertise, nursing, insurance resolution, patient care
-
RN Pre-Service Authorization
2 days ago
Duluth, MN, United States Essentia Health Full timeRN 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...
-
RN Pre-Service Authorization
3 days ago
Duluth, MN, United States Essentia Health Full timeBuilding 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 timeRN 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, MN, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
2 days ago
Duluth, United States Essentia Health Full timeBuilding 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...
-
RN Pre-Service Authorization
3 days ago
Duluth, United States Essentia Health Full timeBuilding 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,...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, MN, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, United States Essentia Health Full timeJob 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...
-
RN Pre-Service Authorization
3 weeks ago
Duluth, MN, United States Essentia Health Full timeJob 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 timeJob 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...
-
Registered Nurse
1 week ago
Hills, MN, United States Avera McKennan Hospital Full timeRegistered Nurse (RN) Unit Supervisor - Recovery Pre-Anesthesia at Avera McKennan Hospital summary: The Registered Nurse (RN) Unit Supervisor - Recovery Pre-Anesthesia at Avera McKennan Hospital is responsible for overseeing the daily activities of the Pre-Anesthesia team to ensure efficient workflow and high-quality patient care. This role involves staff...
-
Registered Nurse
1 week ago
Beaver Creek, MN, United States Avera McKennan Hospital Full timeRegistered Nurse (RN) Unit Supervisor - Recovery Pre-Anesthesia at Avera McKennan Hospital summary: The Registered Nurse (RN) Unit Supervisor oversees pre-anesthesia operations in a collaborative, patient-focused environment. This role emphasizes team communication, workflow management, and career advancement opportunities within a Magnet Recognized...
-
Registered Nurse
1 week ago
Beaver Creek, MN, United States Avera McKennan Hospital Full timeRegistered Nurse (RN) Unit Supervisor - Recovery Pre-Anesthesia at Avera McKennan Hospital summary: The Registered Nurse (RN) Unit Supervisor oversees pre-anesthesia operations in a collaborative, patient-focused environment. This role emphasizes team communication, workflow management, and career advancement opportunities within a Magnet Recognized...