Pre-Authorization RN

Job ID: 145021    Posted 6/14/2024

LOCATION

Location: New York, New York

JOB TYPE

Job Type: Direct Hire

CATEGORY

Category: Case Management

POSITION

Position: 145021

SKILLS

Skills: Utilization Review

SALARY

Salary Low: $90000 - Salary High: $103000

DURATION

Duration: 2 Weeks

SHIFT

Shift:

Job Description

Pre-Authorization RN
Telework after new hire completes 4 – 6 months of in-office and at home training
Salary range: $85,000 – $103,000 based on education and experience
$15,000 sign on bonus paid over 3 years

The position requires the registered nurse to perform case reviews and process all requests for elective services and durable medical equipment in accordance with the Center for Medicare and Medicaid Guidelines, New York State Medicaid Guidelines, evidence-based Best Practice Guidelines, as well as other departmental criteria and protocols. Works collaboratively with other disciplines within and outside of the department including Physician Advisors, Vendors, Providers, Member’s Primary Care Physicians, and other Specialists as necessary to ensure compliance with regulatory standards and timely provision of services. The registered Nurse will provide high-quality customer service.

Qualifications:

  • NY State RN
  • UM experience
  • Knowledge of Utilization management processes is required.
  • BSN preferred
  • Prior managed care experience required
  • Medicare and Medicaid Regs knowledge

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At RCM Health Care Services, we redefine healthcare staffing, creating an environment where your career thrives and flourishes. Our commitment to your success is woven into the fabric of our culture, offering diverse opportunities for both seasoned professionals seeking challenges and newcomers ready to make their mark. As a part of the RCM family, you'll experience more than just a job – you'll find a platform for continuous growth and fulfillment.

We have cultivated an ecosystem where healthcare professionals not only find rewarding career opportunities but also a community that values their skills and dedication. Your success is our priority, and our collaborative environment ensures you're never alone on your professional journey. Competitive salaries and comprehensive benefits reflect our dedication to your well-being, allowing you to focus on what matters most – delivering exceptional care. Join RCM Health Care Services, a trusted partner with a proven track record since 1975 and embark on a journey where your path to a fulfilling healthcare career truly begins.

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With a legacy spanning over 45 years, RCM Health Care Services is a leader in connecting healthcare professionals with rewarding career opportunities. Our foundation is built on cultivating relationships with school districts, setting the stage for our expansion into placing providers across diverse facility types. As we evolved, our expertise diversified across various divisions including School Services, Behavioral Health/ABA, Travel, Nursing, Therapy, HIM, Permanent Placement, Foreign Recruitment, Locums Tenens, and much more.
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