Rn Medical Management Services

Banner Health

Arizona, United States
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 Health is seeking a Registered Nurse for their Medical Management Services, focusing on prior authorization and case management in a fully remote environment. The position requires experience in healthcare management, effective communication skills, and a commitment to delivering quality patient care

Job Summary

  • This role involves reviewing medical plans and making pre-service determinations to ensure right care at the right time.
  • Banner Health offers a comprehensive benefits package including health and financial security options for employees.
  • The position requires managing cases across the healthcare continuum while adhering to federal and state regulations.

Matching Summary

Match Score: 85

Banner Health is seeking a Registered Nurse for their Medical Management Services, focusing on prior authorization and case management in a fully remote environment. The position requires experience in healthcare management, effective communication skills, and a commitment to delivering quality patient care.

Salary

Base: $35.43 - $59.05 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive total rewards package included

Skills & Requirements

Must-have

  • Prior Authorization experience required
  • Proficiency with CMS and MCG guidelines
  • Strong critical thinking and problem-solving skills

Nice-to-have

  • Experience in acute care or home care environments
  • Ability to work flexible rotating hours
  • Collaborative interdisciplinary team approach

Key Requirements

  • Active Registered Nurse (R.N.) licensure
  • Bachelor's degree or equivalent experience
  • Five years of clinical experience
  • Residency in Arizona required

Work Rights

Must reside in AZ

Tailored Resume

Cover Letter