Registered Nurse 2

4 weeks ago


Menands, New York, United States StateJobsNY Full time
Job Summary

The Registered Nurse 2 will be responsible for conducting medical necessity reviews of prior authorization requests for treatment, procedures, and testing to determine the medical necessity of treatments requested for injured workers. This role requires collaboration with Medical Director's Office staff and providers to ensure continuity of care for injured workers.

Key Responsibilities
  • Conduct medical necessity reviews of prior authorization requests to determine the medical necessity of treatments requested for injured workers.
  • Collaborate with Medical Director's Office staff and providers to ensure continuity of care for injured workers.
  • Draft and issue Notices of Resolution for all assigned prior authorization requests.
Requirements

Qualified candidates should have a current license and registration as a registered professional nurse in New York State and two years of registered nursing experience in the following areas: rehabilitation, medical/surgical, public health, community health, visiting nursing, occupational health, utilization review, or review of medical records from hospitals for appropriate ICD 9 or 10/DRG/PAS/CPT coding.

Additional Information

The Workers' Compensation Board is an equal opportunity employer and is committed to eliminating injustices and ensuring diversity in our workforce. We encourage applicants from marginalized communities to apply.


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