RN Pre-Service Authorization
Duluth, Minnesota
Posted Sep 4
- Shift
- 8-hour days
- Hours a week
- 40
What the listing says
Role
- Schedule
- 8-hour days · 5 a week · 40 hours
- Term
- Permanent
- On the floor
- No call
- Practice
- Union position
- Setting
- Case Management
- Accepts
- RN
Ratio not posted. Ask in the interview.
Pay
About this role
Building Location
Business Service Center
Read the full posting
Department
1007190 pre-service authorization - eh ss
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
Licensure/Certification
Qualifications
Certification/Licensure Required
- Current nursing licensure in state(s) of employment
Fte
1
Possible Remote/Hybrid Option
Remote
Shift Rotation
Day Rotation (United States of America)
Shift Start Time
0800
Shift End Time
1630
Weekends
Holidays
No
Call Obligation
No
Union
Compensation Range
$70,595.20 - $105,892.80
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.
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
Benefits
- Dental insurance
- Health insurance
- 401(k)
- Disability insurance
- Tuition reimbursement
- Vision insurance
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 on the western tip of Lake Superior, blending rugged outdoor access with a working port-city feel. The Canal Park district offers lakefront dining and the iconic Aerial Lift Bridge, while the surrounding hills provide hiking and trail networks. A practical choice for nurses who value four-season recreation and a mid-size community pace.
Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities.
How this role fits you
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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
The posting doesn’t answer these. 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 weekend, holiday, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
