... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Clinical Review Nurse - Prior Authorization
Chino, CA · On-site
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Clinical Review Nurse - Prior Authorization
Chino, CA · On-site
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Clinical Review Nurse - Prior Authorization
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Quick apply
Clinical Review Nurse - Prior Authorization
$62K - $93K/yr
Active California LVN or RN license * 3-5+ years of current clinical UM review * Experience with prior authorization in managed care or delegated environment * Knowledge of MCG criteria, medical ...
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
RN Care Team Manager
Los Angeles, CA · On-site
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
RN Care Team Manager
Los Angeles, CA · On-site
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
Quick apply
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
Quick apply
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
Quick apply
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
Quick apply
... contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on ... This role will also decrease the Division of Medicine (DOM) prior authorization denial rate, which ...
Prior Authorizations Pharmacy Technician
$18.75 - $22.75/hr
... contractual and various regulatory / legal requirements. * Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and ...
Prior Authorizations Pharmacy Technician
$18.75 - $22.75/hr
... contractual and various regulatory / legal requirements. * Using established criteria and guidelines, the pharmacy technician receives and processes prior authorization requests made by providers and ...
Medication Authorization Specialist
$19.72 - $29.95/hr
Obtains required clinical documentation for prior authorization (ex: progress notes, labs ... Observes payor contractual authorization requirements.7.Utilizes website portals and electronic ...
Medication Authorization Specialist
$19.72 - $29.95/hr
Obtains required clinical documentation for prior authorization (ex: progress notes, labs ... Observes payor contractual authorization requirements.7.Utilizes website portals and electronic ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
Responsible for day to day operations of the Pre-Authorization team to include timely response and ... Clear and current CA Registered Nurse (RN) license * Ability to demonstrate leadership and ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
Responsible for day to day operations of the Pre-Authorization team to include timely response and ... Clear and current CA Registered Nurse (RN) license * Ability to demonstrate leadership and ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
Responsible for day to day operations of the Pre-Authorization team to include timely response and ... Clear and current CA Registered Nurse (RN) license * Ability to demonstrate leadership and ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
Responsible for day to day operations of the Pre-Authorization team to include timely response and ... Clear and current CA Registered Nurse (RN) license * Ability to demonstrate leadership and ...
UM Coordinator
Long Beach, CA · On-site
$23 - $27/hr
... nurses, medical directors, case managers, provider offices, and health plans to ensure timely and ... Receive and process prior authorization requests through EZCAP. * Verify member eligibility and ...
Quick apply
UM Coordinator
Long Beach, CA · On-site
$23 - $27/hr
... nurses, medical directors, case managers, provider offices, and health plans to ensure timely and ... Receive and process prior authorization requests through EZCAP. * Verify member eligibility and ...
UM Coordinator
Long Beach, CA · On-site
$23 - $27/hr
... nurses, medical directors, case managers, provider offices, and health plans to ensure timely and ... Receive and process prior authorization requests through EZCAP. * Verify member eligibility and ...
Quick apply
UM Coordinator
Long Beach, CA · On-site
$23 - $27/hr
... nurses, medical directors, case managers, provider offices, and health plans to ensure timely and ... Receive and process prior authorization requests through EZCAP. * Verify member eligibility and ...
Registered Nurse Phone Triage
Chula Vista, CA · On-site
$74K - $95K/yr
Registered Nurse Telephone Triage FQHC Outpatient Clinic Job Posting (ONSITE ONLY) Organization ... prior authorization assistance, EMR messages, provider communication, and follow-up tasks in ...
Quick apply
Registered Nurse Phone Triage
Chula Vista, CA · On-site
$74K - $95K/yr
Registered Nurse Telephone Triage FQHC Outpatient Clinic Job Posting (ONSITE ONLY) Organization ... prior authorization assistance, EMR messages, provider communication, and follow-up tasks in ...
RN - Case Manager
San Pedro, CA · On-site
$68 - $72/hr
Registered Nurse - Case Manager Location: San Pedro, CA Schedule: 08:00 - 16:30 (5x8; Self ... Arrange necessary resources and equipment (DME), complete prior authorizations, and initiate post ...
Quick apply
RN - Case Manager
San Pedro, CA · On-site
$68 - $72/hr
Registered Nurse - Case Manager Location: San Pedro, CA Schedule: 08:00 - 16:30 (5x8; Self ... Arrange necessary resources and equipment (DME), complete prior authorizations, and initiate post ...
Contractual Prior Authorization Rn information
What is the difference between Contractual Prior Authorization Rn vs Medical Coder?
| Aspect | Contractual Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, certifications in prior authorization | Certification in coding (CPC, CCS) |
| Work Environment | Healthcare facilities, insurance companies | Medical offices, coding departments |
| Industry Usage | Insurance, healthcare providers | Healthcare administration, billing |
Contractual Prior Authorization Rns and Medical Coders both work within healthcare but focus on different tasks. Rns handle authorization requests to approve treatments, while Medical Coders translate medical records into billing codes. Both roles require specialized certifications and are essential in healthcare administration, often working in similar environments but with distinct responsibilities.
What are the most commonly searched types of Prior Authorization Rn jobs in California? The most popular types of Prior Authorization Rn jobs in California are:
What cities in California are hiring for Contractual Prior Authorization Rn jobs? Cities in California with the most Contractual Prior Authorization Rn job openings:
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Interested in being considered?Â
IF IS JOB OPPORTUNITY IS FOR YOU, GIVE ME A CALL AT 321-574-6926Â
Job Description
More Insight of Daily Responsibilities:
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute careÂ
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.Â
Qualifications
Hospital Utilization Management.
Insurance Utilization Manager/Review. No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience)Â
Additional Information
Hello!
My name is Krishna Gapuz and I am a Recruiting Consultant with Healthcare Support. I specialize in the placement of medical professionals nationwide (both clinical and non-clinical). We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse, NY (Zip Code 13202). They are looking to start a qualified candidate as quickly as possible (pending hire requirements). This is an amazing opportunity for a Monday - Friday 8:00a.m.-6:00p.m. job with a stable, prestigious company (This Company is one of the leading providers of Healthcare in your area!)Â
If you would like to be considered for this opportunity please respond to this Email as soon (today) as possible! (or you're more than welcome to call me at my office 321-574-6926. Â Â
If you opt to respond to this Email, please include:
- Why did you leave your last position and how long ago (or why are you looking to leave your current position)?
- How much were you last making (hourly)?
- If offered, how soon could you start?
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003