RN Clinical Review Prior Authorization UM Specialist

HealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist to accurately apply HealthPartners evidence-based coverage criteria, manage fiduciary responsibilities, and make timely and reliable coverage determinations.

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, dental, and vision insurance
• Retirement savings plan
• Paid time off
• Holiday pay