Pre-authorization position.

Specialties Case Management

Published

I only have an Associate's degree.. but many years of experience in many areas.

I will be started a pre-authorization position on Monday.

I would appreciate any advice on how I can learn this skill . I understand I will be using Interqual, talking to many disciplines and applying the correct placement and level of care for patients.

Please share your expertise with me.:o

Hi- Been there done that- So far, do you enjoy your job doing pre-certs for a large HMO? I'm very curious because I'm also interested in getting my foot in the door in the insurance field. Can I schedule an informational interview with you @ your convenience for 15 minutes? I was a research nurse for 7 years @ Emory University & got laid-off back in 2009 & I'm currently working with Visiting Angels. I am looking for an administrative position. I don't want to be working in patient care any more because it was never a good fit for me. Just let me know.-Thank you!-Lisa

Hi nulife4good- Did you enjoy your work @ HealthNet and Anthem Blue Cross? I am a RN with a variety of nursing roles & I was a research nurse for 7 years @ Emory University & got laid-off back in 2009. I am currently working with Visiting Angels doing home care assessments. I am interested in getting my foot in the door in the insurance field. Can I schedule an Informational Interview with you for 15 minutes of your time @ your convenience? Would like to ask you some questions & get your feedback & recommendations. Just let my know.-Thank You-Lisa

Hi diva rn- Sounds like you have a lot of experience working in pre-cert with insurance companies. I am a RN with a variety of nursing roles & my last good gig was as a research nurse for 7 years & then I got laid-off back in 2009. Currently I'm working with Visiting Angels doing home visits on a part-time basis. I am interested in getting my foot in the door in the insurance field. Can we schedule an Informational Interview for 15 minutes of your time @ your convenience? I would really appreciate getting your feedback & recommendations. Just let me know. -Thank you-Lisa

Specializes in Managed Care.

Hi Been There Done That, did you ever work in the position of Prior Auth nurse ? Curious because that's what I do now and would love to dish with you!!

Hi Been There Done That, did you ever work in the position of Prior Auth nurse ? Curious because that's what I do now and would love to dish with you!!

I had to do with with my last job. It is such a time suck. They finally gave another nurse the PA's so I could handle triage, and that was all she did.

Specializes in Managed Care.
I had to do with with my last job. It is such a time suck. They finally gave another nurse the PA's so I could handle triage, and that was all she did.

to do PA correctly it is best to face that as one's sole responsibility. Thanks for responding. Take care!!

to do PA correctly it is best to face that as one's sole responsibility. Thanks for responding. Take care!!

Very true. It is a lot of work.

Hi Been There Done That, did you ever work in the position of Prior Auth nurse ? Curious because that's what I do now and would love to dish with you!!

Oh yeah sista! Got the gig and it is suweeet. PM me.. I will fill you in ;)

Hi there, I am reading through this thread as I am interested shifting to Pre-authorization position. I am really curious, how has it been so far? I am a new RN in the US and I have worked in NICU abroad for about 6 years and I feel that I was never happy with my job. So I am seeking nonclinical jobs but still has something to do with healthcare. This seems to fit my interests. I would love to hear from you. Do I need an prior experience doing same for this position? Do you think my NICU experience qualifies for this? I mean will they even consider me? Thanks a lot.

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