Pre-Authorization Nurse - MJHS Health System : Job Details

Req #: 2753Job ID: 14259Job Location: New York, NYZip Code: 10041Category: Managed Care NursingAgency: ElderplanStatus: Regular Full-TimeOffice: RemoteSalary: $60,673.04 - $75,841.30 per yearThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.Why work for MJHS?:When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!Benefits include:* Sign-on Bonuses OR Student Loan Assistance for clinical staff* FREE Online RN to BSN and MSN degree programs!* Tuition Reimbursement for all full and part-time staff* Dependent Tuition Reimbursement for clinical staff!* Generous paid time off* Affordable medical, dental and vision coverage for employee and family members* Two retirement plans! 403(b) AND Employer Paid Pension* Flexible spending* And MORE!MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)Responsibilities:Process all requests for elective services in accordance with departmental criteria and guidelines. Communicates all elective hospital admissions to the appropriate Utilization Management Coordinator and/or Care Manager to ensure timely receipt of information and continuity of members care.Qualifications:Graduate of an accredited Practical Nursing Program; current LPN NY license and registration required. Minimum of 1-3 years Medical/Surgical nursing experience; prior managed care experience preferred; familiarity with Utilization management processes preferred. Working knowledge of Windows, Word and Excel. Knowledge of current standards of medical practice and healthcare delivery systems.Excellent written and oral communication skillsGood analytical abilities.Apply