RN Clinical Review Prior Authorization UM Specialist
Park NicolletMinnesota, United States
Posted March 31, 2026
Full Time
About the Company
Park Nicollet is an integrated care system based in St. Louis Park, Minnesota, offering comprehensive services across various specialties including eating disorders, heart and vascular health, diabetes management, and cancer treatment. With over 8,200 team members, the organization provides a holistic approach to patient care through its diverse network of hospitals, clinics, and institutes.
Job Description
HealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist to apply evidence-based coverage criteria, manage fiduciary responsibilities, and make accurate coverage determinations for patients.
Requirements
- Currently licensed Registered Nurse
- Minimum of three years clinical practice experience as an RN in medical/surgical, critical care, home care, or equivalent knowledge of current hospital and clinical care processes
- Clear and concise verbal and written communication and interpersonal skills
- Ability to use critical thinking skills for problem solving
- Ability to organize and prioritize multiple assignments within workload
- Ability to function independently and take independent action, within the scope of job responsibilities
- Competency in personal computer skills including Microsoft word, Outlook and Internet
- Ability to deal with change and ambiguity
Benefits
- Health insurance
- Retirement plan
- Paid time off
- Tuition reimbursement
- Relocation assistance
