To support managed care programs, the full-time remote Registered Nurse Pre-Service Authorization will conduct prior authorization processes, collaborate with Access Coordinators, and manage complex care coordination while ensuring compliance with healthcare initiatives. Key responsibilities Conduct managed care programs and oversee referral and prior authorization processes Collaborate with Access Coordinators and customer service personnel to resolve insurance issues and enhance operational efficiency Participate in health care initiatives and compliance discussions with supervisors and medical directors Required qualifications BSN or ADN degree from an accredited nursing school Current nursing licensure in the state(s) of employment Experience with remote work and prior authorization processes Familiarity with Epic software Knowledge of insurance practices related to managed care
Registered Nurse Pre-Service Authorization in workfromhome at Unknown Company
- Typical pay
- $71,760–$109,200
For context, most registered nurses earn between $71,760–$109,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.