Minnesota Licensed Registered Nurse

To support managed care programs, the full-time Minnesota Licensed Registered Nurse will conduct prior authorization and referral processes remotely, collaborating with Access Coordinators and insurance personnel to ensure efficient service delivery. Key responsibilities Conduct managed care activities, including referrals and prior authorizations, in accordance with established policies Perform complex care coordination and referral management while collaborating with clinical and business services Support health care initiatives and compliance efforts in partnership with the Supervisor of Contracting & Payor Relations and Health Plans Medical Directors Required qualifications Current nursing licensure in the state of Minnesota BSN or ADN degree from an accredited school or college of nursing Experience in oncology and non-oncologic infusion therapy referrals Knowledge of insurance policies and prior authorization processes Ability to work collaboratively with various healthcare and administrative teams