RN - Pre-Service Authorizations
Duluth, Minnesota
- Eligibility
- Case ManagementUtilization Management
Posted Jul 17
What the listing says
Role
- Term
- Permanent
- Accepts
- RN
Ratio not posted. Ask in the interview.
Pay
- Against the board
- Below most MN staff postings
MN staff postings that state pay run $27/hr to $59/hr, the middle half $37/hr to $53/hr, across 592 postings.
About this role
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.
Sourced from a public job board.
Requirements
- BSN or ADN degree from an accredited school or college of nursing
- Current nursing licensure in state(s) of employment
- Managed care organization experience
- Pre-authorization review for utilization management
- Healthcare referral management
- Care coordination
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- Customer service
- Insurance issue resolution
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Supplemental insurance options
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- 401(k) plan with employer contributions
- Training programs
Place
- City
- Duluth, Minnesota
- Median rent
- $1,087/mo
- Local household income
- $68,807/yr
- Metro price level
- 11% below the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Duluth area index 88.8, where 100 is the national average.
Duluth sits at the western tip of Lake Superior — a working port city of steep hills and red sandstone where your dollar stretches about 11% below the national average. Walk the Lakewalk from Canal Park past the Aerial Lift Bridge, then climb the East Hillside for skyline views and rambling Victorians.
Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.
How this role fits you
About the employer
You would be joining Essentia Health in Duluth, where a new hospital looks out over Lake Superior and the system anchors care across Minnesota, North Dakota, and Wisconsin with about 15,000 employees, 14 hospitals, and roughly 70 clinic and outpatient…
Worth asking
We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?