Job Description

Job Description

Job Description

Prior Authorization Nurse – RN/LPN

Coal Country Community Health Center (CCCHC) is seeking a full-time dedicated and detailed orientated Prior Authorization Nurse (RN or LPN) to join our team. This position offers a hybrid work arrangement, combining remote work from an approved location within the State of North Dakota with onsite work from CCCHC Beulah Clinic location.

The Prior Authorization Nurse plays an important role in supporting patients and providers by coordinating insurance authorizations and ensuring patients have timely access to medically necessary services, medications, procedures, and treatments.

Position Highlights

• Hybrid work schedule – combination of remote and onsite work.
• Remote work must be performed within the State of North Dakota.
• No weekends or call.
• Collaborative healthcare environment, working with prior authorizations for Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC).
• Opportunity to support quality patient care and access to services.

Why Join CCCHC?

At Coal Country Community Health Center, we are committed to providing quality, compassionate, accessible healthcare to the communities we serve. Our teams values Quality, Compassion, Integrity, Teamwork, and Safety.

We offer a competitive wage and benefit package that includes health, dental, and vision insurance, 401(k), Paid Time Off, Extended Sick Time and other employee benefits.

Join our team and make a difference in helping patients receive the care they need.

Qualifications

• Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN),
• Minimum of 3-5 years of clinical nursing experience,
• Proficiency in using EMR (EPIC) and Microsoft Office,
• Strong organizational skills,
• Excellent written and verbal communication skills,
• Ability to work independently and collaboratively while meeting deadlines, required.
• Prior authorization experience, preferred.
• Experience with Medicare, Medicaid, and commercial insurance, preferred.

Prior Authorization Nurse (RN/LPN)

The Prior Authorization Nurse is responsible for coordinating and obtaining insurance prior authorization for medical services, medications, procedures, durable medical equipment (DME), specialty referrals, and hospital services. Working collaboratively with providers, clinical staff, and insurance payers, this position ensures timely access to medically necessary care while minimizing delays in treatment.

If you are an optimistic, goal orientated team contributor and looking for a unique opportunity to use your nursing skills caring for our communities, Apply Today!

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