RN - Pre-Service Authorization
Company: Essentia Health
Location: Duluth
Posted on: February 7, 2026
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Job Description:
Job Description: Conducts Managed Care Programs in conjunction
with third party administrators’ health care agreements. Works
collaboratively with and provides clinical expertise and leadership
to Access Coordinators to perform all aspects of managed care,
including the referral, prior authorization/precertification
processes, using and revising Essentia Health’s established
policies and procedures for managed care activities. Performs
complex care coordination and referral management. Works
collaboratively with the Essenita Health customer service personnel
to provide efficient service for insurance issue resolution and
smooth operations. Works collaboratively with clinical areas and
business services both internally and externally. Supports efforts
and participates with the Supervisor of Contracting & Payor
Relations and the Health Plans Medical Directors regarding health
care initiatives and compliance issues for health plans. Education
Qualifications: BSN or ADN degree from an accredited school or
college of nursing Be a part of a Healthcare organization that
invests in you and your career . Apply now and help us continue to
raise the bar in patient care! Licensure/Certification
Qualifications: Current nursing licensure in state(s) of employment
Employee Benefits at Essentia Health: At Essentia Health, we’re
committed to supporting your well-being, growth, and work-life
balance. Our comprehensive benefits include medical, dental,
vision, life, and disability insurance, along with supplemental
options to fit your needs. We offer a 401(k) plan with employer
contributions to help you plan for the future, and we invest in
your professional development through training, tuition
reimbursement, and educational programs. To help you thrive both at
work and at home, we provide flexible scheduling, generous time
off, and wellness resources focused on your physical, mental, and
emotional health. Please note that benefit eligibility may vary.
For full details, refer to your benefit summary or contact our HR
Service Center at (218) 576-0000. Job Location: Business Service
Center Shift Rotation: Day Rotation (United States of America)
Shift Start/End: Day Shift / Day Shift Hours Per Pay Period: 80
Compensation Range: $69826 - $104749 / year Union: FTE: 1 Weekends:
Yes Call Obligations: Sign On Bonus:
Keywords: Essentia Health, Duluth , RN - Pre-Service Authorization, Healthcare , Duluth, Minnesota
