Pre-Authorization Nurse
Company: Metropolitan Jewish Health System
Location: New York
Posted on: January 15, 2021
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Job Description:
Job DescriptionThe 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.
Even in a non-clinical role, employees have an opportunity to make
a positive impact on the quality of our health plan members'
lives.As a Pre-Authorization Nurse, you will process all requests
for services in accordance with Medicare and NYS Medicaid
Guidelines as well as departmental criteria and guidelines. You
will work collaboratively with other disciplines including Care
Manager, Assessment Nurse and Primary Care Physician or other
Specialists as necessary to ensure timely provision of services.
You will coordinate timely completion of UAS NY assessment that
accurately reflects current condition of the member. You will
ensure that the member's Individualized Person Centered Care Plan
has been updated and accurately reflects present status of the
member.
Keywords: Metropolitan Jewish Health System, New York , Pre-Authorization Nurse, Healthcare , New York, New York
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