Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!

Metropolitan Jewish Health System • New York, NY

11d • $90,000 - $110,000

About The Position

The Pre-Authorization RN processes requests for services in accordance with Medicare and New York State Medicaid guidelines and departmental criteria. The role works with care managers, assessment nurses, primary care physicians, and other specialists to support timely service provision. It also coordinates timely completion of UAS NY assessments that accurately reflect members’ current conditions and ensures members’ Individualized Person-Centered Care Plans are updated to reflect their present status.

Requirements

• Graduate of an accredited nursing program; a bachelor’s degree is preferred.
• Current New York RN license and registration required.
• Three to five years of nursing experience in long-term care, managed care, home care, geriatrics, or hospice.
• Working knowledge of Medicare and Medicaid regulations.
• Working knowledge of Windows, Word, and Excel.
• Knowledge of current standards of medical practice and healthcare delivery systems.
• Strong assessment skills.

Nice To Haves

• Bachelor’s degree in nursing.
• Knowledge of utilization management processes.
• CCM certification.
• Prior experience in an interdisciplinary service delivery environment.
• Knowledge of InterQual.

Responsibilities

• Process service requests according to Medicare and New York State Medicaid guidelines and departmental criteria and guidelines.
• Collaborate with care managers, assessment nurses, primary care physicians, and other specialists to ensure timely provision of services.
• Coordinate timely completion of UAS NY assessments that accurately reflect members’ current conditions.
• Ensure each member’s Individualized Person-Centered Care Plan is updated and accurately reflects the member’s present status.

Benefits

• Sign-on bonus or student loan assistance for clinical staff.
• Free MSN in Education program.
• Tuition reimbursement for full- and part-time staff.
• Dependent tuition reimbursement for clinical staff.
• Generous paid time off, including your birthday.
• Medical, dental, and vision coverage for employees and family members.
• 403(b) retirement plan and employer-paid pension.
• Flexible spending.
• Eligibility as an employer under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level