Base: $35.43 - $59.05 ph; bonus/equity: not specif...
Fully remote
Prior authorization experience required
Proficiency with cms and mcg guidelines
Strong critical thinking and problem-solving skills
Banner Medical Group is seeking an RN for Medical Management Services, focusing on prior authorization and care coordination in a fully remote role. The ideal candidate should have a strong clinical background, experience in care management, and possess a Registered Nurse license in Arizona
Job Summary
This role involves reviewing medical plans and making prior authorization determinations using tools like CMS and Noridian.
Banner Health is recognized as one of the top places to work in healthcare and offers a comprehensive total rewards package.
The position requires managing patient care across the continuum to achieve optimal clinical and financial outcomes while adhering to federal regulations.
Matching Summary
Match Score: 85
Banner Medical Group is seeking an RN for Medical Management Services, focusing on prior authorization and care coordination in a fully remote role. The ideal candidate should have a strong clinical background, experience in care management, and possess a Registered Nurse license in Arizona.
Salary
Base: $35.43 - $59.05 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive health, financial security, and wellness options included
Skills & Requirements
Must-have
Prior authorization experience required
Proficiency with CMS and MCG guidelines
Strong critical thinking and problem-solving skills
Ability to work rotating Saturday shifts
Must reside in Arizona state
Nice-to-have
Experience with Optum360 Encoder Pro tool
Background in acute or home care environments
Collaborative interdisciplinary team approach
Flexible availability for after-hours call rotation
Key Requirements
Active Registered Nurse (R.N.) licensure
Bachelor's degree or equivalent experience
Five years of relevant clinical experience
Knowledge of care management and utilization management