RN – Pre-Service Authorizations

Other Jobs To Apply

No other job posts for this day.

Building Location:

Business Service Center

Department:

1007190 PRE-SERVICE AUTHORIZATION - EH SS

Job Description:

Conducts Managed Care Programs in conjunction with third party administrators’ health care agreements. Works collaboratively with and provides clinical expertise and leadership to Access Coordinators to perform all aspects of managed care, including the referral, prior authorization/precertification processes, using and revising Essentia Health’s established policies and procedures for managed care activities. Performs complex care coordination and referral management. Works collaboratively with the Essentia Health customer service personnel to provide efficient service for insurance issue resolution and smooth operations. Works collaboratively with clinical areas and business services both internally and externally. Supports efforts and participates with the Supervisor of Contracting & Payor Relations and the Health Plans Medical Directors regarding health care initiatives and compliance issues for health plans.

Education Qualifications:

BSN or ADN degree from an accredited school or college of nursing

Be a part of a Healthcare organization that invests in you and your career.

Apply now and help us continue to raise the bar in patient care!

Licensure/Certification Qualifications:

Current nursing licensure in state(s) of employment

FTE:

0

Possible Remote/Hybrid Option:

Remote

Shift Rotation:

Day Rotation (United States of America)

Shift Start Time:

Varies

Shift End Time:

Varies

Weekends:

Yes

Holidays:

Yes

Call Obligation:

No

Union:

Union Posting Deadline:

Compensation Range:

$33.94 - $50.91

Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Additional Information

Company: Essentia Health

Location: Minnesota

Salary: $33.94 - $50.91 per hour

Job ID: R080699

Specialties: Not specified

Required Licenses: RN

Experience Level: No Experience

Back to blog

Other Jobs To Apply

Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)

Remote Typing Jobs No Experience

Start ASAP | No Experience Needed | Remote Work From Home Opportunity

Entry-Level Data Entry Clerk - Part-Time / Full-Time (Remote)

Operations Manager - Santa Clarita, CA

RN Externship Summer 2018

Customer Service Representative Agent Work From Home - Part Time Focus Group Panelists

Cashier Assistant (Front End)

Full Time Sales Professional - Las Vegas Caesars Palace

Remote Sales Advisor

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

amazon warehouse associate $15+/ Hour (Sign on Bonus)!

Certified Pharmacy Technician, Amazon Pharmacy

Start ASAP | No Experience Needed | Remote Work From Home Opportunity

Amazon Fulfillment Associate

Product Tester USA Based

Mom's Spaghetti Cook/Cashier

Entry-Level Data Entry Clerk (Remote)$45 per Hour

Remote Data Entry Clerk - Part Time - (Remote)

Product Specialist [3rd shift - 11p-8a] - REMOTE

Warehouse Associate - Loader/Unloader - 2nd Shift

REMOTE Client Representative – Work From Anywhere

United Airlines Reservations Representative (Remote)

Warehouse Lead - Outbound (Shipping)

Forklift Driver

Now Hiring: School Cafeteria Workers - Arlington, TX

Part-Time Center Associate 7462

Night Warehouse Associate (Entry Level)

Cashier Assistant (Front End) - Full-time / Part-time

Remote Service Desk Analyst or IT Technical Support Analyst

Area Maintenance Manager

Dallas Open Interviews | Call Center Representative | Hiring Immediately

Virtual Reader Services - Atlanta, GA

amazon warehouse associate $15+/ Hour (Sign on Bonus)!

Delivery Station Warehouse Associate

Delivery Driver (Amazon DSP)

flex driver

Retail Cashier/Customer Service

Food Service Assistant

EHS Specialist

Email Chat Support Jobs - No Prior Experience Required, Earn $25-$35 an Hour

Software Development Engineer, Prime Video on Fire TV

Part Time Customer Service Representative/Call Center Rep (Remote)

Dock Associate in Tracy, California ($20.00)

Clinical Quality PM, One Medical Senior Health

Weekend Remote Chat Support Jobs – Work Saturdays & Sundays Only | $25–$35/hr

Remote Customer Service Representative - Call Center | Kansas

Warehouse/Distribution: FT Order Filler/Associate/Fulfillment

Sr. Product Manager, Virtual Private Cloud, VPC

Airport Passenger Service Supervisor - JFK-AeroMex

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...