Job Highlights

• Collaborative, fun, and supportive team culture focused on exceptional patient care

• Full-time role with comprehensive benefits and a schedule that supports work-life balance

• Monday through Friday: 8:00am-4:30pm

• Great benefits package with generous PTO

What You’ll Do

• Review and process prior authorization requests accurately and efficiently
• Ensure all clinical documentation is complete and submitted appropriately
• Follow up on pending authorization determinations and status updates
• Review discharge reports and identify patients needing transition-of-care support
• Conduct post-discharge outreach calls to patients
• Address patient questions, concerns, and care coordination needs
• Coordinate and schedule follow-up appointments with providers as needed
• Collaborate closely with providers and interdisciplinary care teams to ensure continuity of care
• Identify and help resolve gaps in care and communication barriers
• Maintain timely and accurate EMR documentation
• Manage a high volume of tasks and patient coordination activities in a fast-paced environment
• Support efficient communication between patients, providers, and care team members in a non-patient-facing role

What You’ll Bring 

• Certificate from an accredited Nursing School or associate degree (A.S.) is required; Bachelor's degree (BSN) from four-year college or university is preferred 
• Currently licensed Registered Nurse in state of practice required
• Current certification with hands-on training in AHA, ARC or equivalent Basic Life Support for health care providers is required; Advanced Cardiac Life Support may also be required based on contract scope of services
• At least three years of experience as a Registered Nurse in an emergency room, occupational health clinic or other ambulatory care clinic