Pre-Authorization Unit Supervisor
1 week ago
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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