Offer summary
Qualifications:
Bachelor’s degree in Nursing or equivalent experience, RN with current licensure to practice in state of program operations (NH or MA), 5-7 years of related work experience, Knowledge of applicable state regulations, Ability to travel statewide.
Key responsabilities:
- Assess clinical eligibility and provide resource support for program participants
- Conduct on-site reviews and reassessments for medical necessity determination
- Authorize services and maintain documentation in data system applications
- Liaise with healthcare providers, facilities, and state agencies
- Maintain positive relationships and confidentiality, participate in performance improvement initiatives