RN Prior Authorization Nurse

healthcaresupportstaffing1
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📍 Tacoma📍 Tacoma, WA, United States📍 WA📍 usFull time

About this role

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities Prior Auth RN:

  • Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems


Qualifications

Requirements RN Prior Authorizations:

  • RN license
  • Associate’s degree in Nursing.
  • Minimum of 2-5 years of clinical experience in acute setting
  • One of these 2: experience authorizing services or experience calling in for auths from a provider setting
  • Knowledge of utilization management principles and managed care.
  • Must be comfortable with computers and with learning software programs


Hours for this Position:

M-F 8-5:30

Advantages of this Opportunity:

  • Competitive salary ($64-78K) plus annual bonus
  • Fun and positive work environment
  • Room for growth
  • Medical benefits 1st of the month after hire
  • 401k Matching

Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.

Frequently Asked Questions

Is the salary disclosed for the RN Prior Authorization Nurse position at healthcaresupportstaffing1?
The salary for this RN Prior Authorization Nurse role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the RN Prior Authorization Nurse position at healthcaresupportstaffing1 located?
This RN Prior Authorization Nurse role at healthcaresupportstaffing1 is based in Tacoma, Tacoma, WA, United States, WA, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the RN Prior Authorization Nurse role at healthcaresupportstaffing1 full-time or part-time?
This is listed as a Full time position. It is posted as a RN Prior Authorization Nurse role at healthcaresupportstaffing1.
How do I apply for the RN Prior Authorization Nurse position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the RN Prior Authorization Nurse job at healthcaresupportstaffing1 posted?
This RN Prior Authorization Nurse position at healthcaresupportstaffing1 was posted on Jun 27, 2016. Apply as soon as possible — early applications are often reviewed first.
RN Prior Authorization Nurse
healthcaresupportstaffing1
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