Gillette Children's Hospital and Clinics
Prior Authorization Nurse (LPN)
Gillette Children's Hospital and Clinics, Saint Paul, Minnesota, United States, 55130
Details
Client Name Gillette Children's Hospital and Clinics Job Type Travel Offering Nursing Profession LPN / LVN Specialty General Job ID 31087066 Job Title Prior Authorization Nurse (LPN) Weekly Pay $1085.0
Shift Details
Shift Day - 8x5 - 08AM Scheduled Hours 40
Job Order Details
Start Date 03/24/2025 End Date 06/22/2025 Duration 13 Week(s)
Job Description Job Title: Licensed Practical Nurse (LPN)
Job Specialty: Prior Authorization Nurse
Job Duration: 13 weeks
Shift: Day flexible between 6 a.m. to 6 p.m., 5x8 hours
Guaranteed Hours: 40 hours per week
Experience: Minimum one (1) year of nursing experience in a healthcare environment required
License: Minimum licensure as a Licensed Practical Nurse (LPN) or Registered Nursing (RN) License from the MN Board of Nursing
Certifications: Active professional affiliations and/or national certification related to clinical specialty preferred
Must-Have: - Knowledge of payer requirements and expectations regarding prior authorization - Familiarity with CPT/HCPCS and ICD-10 - Proficient technology skills, including working with Microsoft Office Products
Job Description: - Promote the quality and cost-effectiveness of medical care by applying clinical acumen and policies and guidelines to requests for prior authorization. - Process authorizations, certifications, and referrals needed from payers to ensure maximum reimbursement for both the patient and the organization. - Check patient insurance benefits and eligibility to determine prior authorization requirements and inform patients of their estimated financial liability. - Adhere to Joint Commission requirements including sensitivity to cultural diversity, patient care, ethical treatment, safety and security, and compliance with National Patient Safety Goals. - Maintain professional and ethical behavior as outlined by licensing guidelines and company policies. - Serve patients with challenging and complex conditions by working in highly coordinated teams to organize care based on each patient's condition. - Communicate efficiently and effectively, fostering teamwork and building strong credible working relationships with clients, patients, and internal partners. - Demonstrate excellent customer service and communication skills-verbal, written, and listening. - Analyze and interpret clinical criteria, working independently with analytical, problem-solving, and decision-making abilities.
Client Details
Address 200 University Avenue East City Saint Paul State MN Zip Code 55101
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Client Name Gillette Children's Hospital and Clinics Job Type Travel Offering Nursing Profession LPN / LVN Specialty General Job ID 31087066 Job Title Prior Authorization Nurse (LPN) Weekly Pay $1085.0
Shift Details
Shift Day - 8x5 - 08AM Scheduled Hours 40
Job Order Details
Start Date 03/24/2025 End Date 06/22/2025 Duration 13 Week(s)
Job Description Job Title: Licensed Practical Nurse (LPN)
Job Specialty: Prior Authorization Nurse
Job Duration: 13 weeks
Shift: Day flexible between 6 a.m. to 6 p.m., 5x8 hours
Guaranteed Hours: 40 hours per week
Experience: Minimum one (1) year of nursing experience in a healthcare environment required
License: Minimum licensure as a Licensed Practical Nurse (LPN) or Registered Nursing (RN) License from the MN Board of Nursing
Certifications: Active professional affiliations and/or national certification related to clinical specialty preferred
Must-Have: - Knowledge of payer requirements and expectations regarding prior authorization - Familiarity with CPT/HCPCS and ICD-10 - Proficient technology skills, including working with Microsoft Office Products
Job Description: - Promote the quality and cost-effectiveness of medical care by applying clinical acumen and policies and guidelines to requests for prior authorization. - Process authorizations, certifications, and referrals needed from payers to ensure maximum reimbursement for both the patient and the organization. - Check patient insurance benefits and eligibility to determine prior authorization requirements and inform patients of their estimated financial liability. - Adhere to Joint Commission requirements including sensitivity to cultural diversity, patient care, ethical treatment, safety and security, and compliance with National Patient Safety Goals. - Maintain professional and ethical behavior as outlined by licensing guidelines and company policies. - Serve patients with challenging and complex conditions by working in highly coordinated teams to organize care based on each patient's condition. - Communicate efficiently and effectively, fostering teamwork and building strong credible working relationships with clients, patients, and internal partners. - Demonstrate excellent customer service and communication skills-verbal, written, and listening. - Analyze and interpret clinical criteria, working independently with analytical, problem-solving, and decision-making abilities.
Client Details
Address 200 University Avenue East City Saint Paul State MN Zip Code 55101
Job Board Disclaimer
By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.