Minnesota Licensed RN Authorization Specialist

Job Summary

To support managed care programs, the full-time Minnesota Licensed RN Authorization Specialist will conduct complex care coordination and referral management while collaborating with Access Coordinators and customer service personnel in a remote environment.

Key responsibilities

• Conduct managed care activities including referral and prior authorization processes
• Provide clinical expertise and leadership to Access Coordinators for efficient service delivery
• Collaborate with internal and external stakeholders on health care initiatives and compliance issues

Required qualifications

• BSN or ADN degree from an accredited nursing school
• Current nursing licensure in the state of employment
• Experience in managed care or care coordination
• Knowledge of health care agreements and insurance processes
• Ability to work collaboratively with various clinical and business services