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Authorization Nurse

Details

  • Location Greater Boston Area, Massachusetts
  • Job Type Contract
  • Pay $42.00 / Hour
  • Category ADMIN/OTHER
  • Date Posted Nov 13, 2017

Overview

 
About the Company:
Our Client, one of the leading National Cancer Centers driven to provide expert care to patients of all ages with cancer, HIV/AIDS, and other related diseases while also providing training and education for new physicians and scientists/researchers, and innovative design programs to promote public health in high-risk and underserved populations is looking for an Registered Nurse to join their Boston team. 

Job Description: 
The Authorization Nurse will be responsible for the following:
•    Submit clinical documentation for authorization of various high cost pharmaceuticals, radiopharmaceuticals, and off-label chemotherapy regimens 
•    Collaborate as part of an inter-disciplinary team related to the above 
•    Serve as a clinical resource to the Revenue Integrity & Billing Compliance team 
•    Collaborate with the Prior Authorization Manager to review and appeal rejected claims in a timely fashion 
•    Assist the Revenue Integrity Specialist with prior authorization denials 
•    Perform functions important to daily businesses of the Revenue Integrity Department 
•    Email resumes to lstokes@daleyaa.com 

Requirements
•    Licensed as a Registered Nurse in the Commonwealth of Massachusetts 
•    Bachelor’s degree in Nursing required
•    Case Management, Utilization Review or Prior Authorization experience is preferred 
•    Clinical and/or related experience 
•    Knowledge of third party rules and regulations preferred 
•    Works well in high-pressure situations 
•    Strong analytical and problem solving skills 
•    Strong understanding and ability to work in a various computing/information systems and Microsoft Office product suite 

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