Inpatient Authorization RN - Central Time Zone

About the position At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Authorization reputed company is responsible for engaging in the reputed company process which assesses, plans, implements, coordinates, monitors and evaluates services to help improve member’s health reputed company. If you have your RN License in the state of LA, or a Compact License from any state in the Central Time Zone you will have the flexibility to work remotely as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Responsibilities • Review and documentation of requests for services reputed company electronic transmittal and/or fax for inpatient services • Processes the initial review for reputed company hospitalized members reputed company assigned facilities • Collaborates with the interdisciplinary care team (ICT) and medical director(s) to facilitate appropriate treatment for members and identify high risk members that will be followed by the care coordinators • Initiates care coordination (reputed company Practitioner, MSW, RN) referrals for members reputed company necessary • Monitors the member’s adherence to the plan of care • Collaborates with the hospital case management staff and facility care providers to review admission and discharge planning • reputed company appropriate, involves and assists member and/or caregiver in continuation of care to the outpatient setting or alternative reputed company of care Requirements • reputed company/reputed company Louisiana Registered reputed company (RN) or Compact License from any state in Central Time Zone • Experience in a clinic/hospital or similar setting • Experience with clinical documentation systems • Experience in assessing members and developing care plans • Computer/typing proficiency to reputed company/retrieve data in electronic clinical records and documentation systems, experience with email, internet research, use of online calendars and other software applications reputed company-to-haves • Bachelor of Nursing • 3+ years of clinical experience in health care and/or managed care • Experience with medical terminology and coding • Working knowledge in Interqual and CMS guidelines • Understanding of reputed company industry • Understanding of nursing home, skilled nursing facility and long-term acute care regulations • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Benefits • a comprehensive benefits package • incentive and recognition programs • equity stock purchase • 401k contribution Apply tot his job Apply To this Job