Pre-Authorization Unit Supervisor

1 week ago


New York, New York, United States MJHS Full time
Job Summary:

The Pre-Authorization Unit Supervisor is responsible for overseeing the day-to-day functioning of the MLTC/DSNP pre-authorization functions. This includes reviewing data to monitor regulatory requirements, providing direction for complex cases, and acting as a liaison with interdepartmental communication.

Key Responsibilities:
  • Monitor regulatory requirements and provide direction for complex cases
  • Act as a liaison with interdepartmental communication
  • Review data to ensure compliance with regulatory requirements

Requirements:
  • Graduate of an accredited nursing program
  • Minimum one to three years' previous management experience
  • Previous managed care experience in utilization management and/or case management
  • Licensed to practice as a Registered Nurse in the state of New York

About MJHS:

MJHS is a leading healthcare provider with a commitment to delivering high-quality care to our patients and members. We offer a comprehensive benefits package, including tuition reimbursement, paid time off, and affordable medical coverage. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity.

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