Pre-Authorization Nurse (REMOTE)

WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA! !! Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and guidelines. Work collaboratively with other disciplines including care manager, assessment nurse and primary care physician or other specialists as necessary to ensure timely provision of services. Coordinate timely completion of UAS NY assessment that accurately reflects the current condition of the member. Ensure that the members individualized person centered care plan has been updated and accurately reflects present status of the mem ber BACKGRO UND:RN - licensed in the State o f NYPrevious Pre-Authorization or Utilization Review experi enceAbility to attend monthly meetings in Manha ttan