What are the responsibilities and job description for the Clinical Nurse Specialist- Precertification position at Hoskinson Health & Wellness Clinic?
Position: Clinical Nurse Specialist/Precertification
Department: Medical Care Evaluations
Type: Full-time, 40 hours/week, Day shift (Mon-Fri)
Pay Rate: $40.00-$42.00 per hour
Requirements: RN or LPN
Primary Function: Review pre-admission screenings, ensuring hospital payment capability and appropriate care levels per third-party payer standards.
Essential Duties
Department: Medical Care Evaluations
Type: Full-time, 40 hours/week, Day shift (Mon-Fri)
Pay Rate: $40.00-$42.00 per hour
Requirements: RN or LPN
Primary Function: Review pre-admission screenings, ensuring hospital payment capability and appropriate care levels per third-party payer standards.
Essential Duties
- Supervise referral and admission processes
- Ensure clinical appropriateness of admissions
- Collaborate with clinicians for clinical decisions
- Meet insurance pre-authorization requirements
- Conduct pre-admission assessments
- Demonstrate knowledge of Wellsky System and rehabilitation principles
- Current Massachusetts RN license (BSN preferred) or LPN with 2 years clinical experience
- Knowledge of admission processes and insurance verification
- Effective communication skills
Salary : $40 - $42
