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RN - Pre-Service Authorizations at Essentia Health - ApplyBlast

RN - Pre-Service Authorizations

Essentia Health

3 months ago

Duluth, MN

Hybrid

Part Time

Senior

0 applicants

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About this role

This role involves conducting managed care programs in conjunction with third-party administrators' health care agreements. The position provides clinical expertise and leadership to Access Coordinators for referral and prior authorization processes while collaborating with clinical areas and business services. Responsibilities include performing complex care coordination, managing referrals, and supporting health care initiatives and compliance issues for health plans.

Responsibilities

Conduct managed care programs with third-party administrators
Provide clinical expertise and leadership to Access Coordinators
Perform complex care coordination and referral management
Support health care initiatives and compliance issues
Collaborate with clinical areas and business services

Skills

Qualifications

BSN or ADN degreeCurrent nursing licensure

About Essentia Health

essentiahealth.org

Headquarters

Duluth, Minnesota, United States

Company Size

10001+ employees

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Essentia Health is a health care system dedicated to improving the health and well-being of communities in Minnesota, North Dakota, and Wisconsin. It offers a wide range of medical services including primary care, specialty care, and hospital services, with a focus on accessible and compassionate patient care. Essentia Health aims to support the needs of its patients through advanced technologies, a dedicated team of professionals, and various health programs to promote overall wellness.