Precertification Nurse RN

Job Title: Precertification Nurse RN
Location: Springfield, NJ. Onsite (first 90 days), then Hybrid (local)
Schedule: Mon-Fri, 9 AM – 5 PM or 8:30 AM – 4:30 PM
Salary: $68k – $70k (Negotiable)

About Us

Join the benefits arm of a local union, coordinating healthcare benefits for members. We're seeking a Precerfication Nurse RN  to manage the insurance precertification process, ensuring timely approvals for healthcare services. This is a desk-based role with a stable schedule—no overtime or weekends.

Key Responsibilities

• Precertification Management: Review and submit precertification requests to insurance companies.
• Coordinate healthcare benefit cases, ensuring timely treatment approvals.
• Communicate with providers, insurance companies, and members to facilitate approvals.
• Maintain organized records, ensuring compliance.
• Help streamline workflows for case management processes.
• Educate and support union members on benefits and the precertification process.

Qualifications

• Active RN license
• 2+ years of nursing experience (case management, utilization review, or insurance-related roles preferred).
• Strong understanding of healthcare systems and insurance precertification.
• Excellent organizational and communication skills.
• Proficient in healthcare management software and office tools.