This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
Prior Authorization/Referral Clerk
$16.25 - $20.75/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
Prior Authorization/Referral Clerk
$16.25 - $20.75/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
Quick apply
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... If claiming veteran's preference, you must submit a DD214, Certificate of Release from Active Duty ...
... going directly from operations to engineering. Create and manage clear documentation around ... Qualifications (Required) Prior experience in Prior Authorization, Revenue Cycle, Billing ...
Prior Authorization and Referral Coordinator - Hybrid
Bend, OR · On-site
$19 - $25/hr
Track referrals and authorizations from start to finish, maintaining accurate documentation in Epic ... home internet connection that meets the technical requirements necessary to perform the essential ...
Quick apply
Prior Authorization and Referral Coordinator - Hybrid
Bend, OR · On-site
$19 - $25/hr
Track referrals and authorizations from start to finish, maintaining accurate documentation in Epic ... home internet connection that meets the technical requirements necessary to perform the essential ...
$19 - $24.75/hr
Track referrals and authorizations from start to finish, maintaining accurate documentation in Epic ... home internet connection that meets the technical requirements necessary to perform the essential ...
$19 - $24.75/hr
Track referrals and authorizations from start to finish, maintaining accurate documentation in Epic ... home internet connection that meets the technical requirements necessary to perform the essential ...
The Rheumatology RN Navigator provides comprehensive clinical and administrative support for ... Medication & Prior Authorization Management * Serve as the clinical lead for specialty medication ...
The Rheumatology RN Navigator provides comprehensive clinical and administrative support for ... Medication & Prior Authorization Management * Serve as the clinical lead for specialty medication ...
Prior Authorization and Referral Management Representatives' home department may be a specific ... Obtains pertinent documentation from provider, facility and patient to ensure accurate prior ...
Prior Authorization and Referral Management Representatives' home department may be a specific ... Obtains pertinent documentation from provider, facility and patient to ensure accurate prior ...
... in Prior Authorization UM * Experience with Medicaid and/or Medicare utilization management ... Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus ...
... in Prior Authorization UM * Experience with Medicaid and/or Medicare utilization management ... Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus ...
... in Prior Authorization UM * Experience with Medicaid and/or Medicare utilization management ... Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus ...
... in Prior Authorization UM * Experience with Medicaid and/or Medicare utilization management ... Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus ...
Supervisor, Appeals
OR · On-site +1
$75K - $135K/yr
REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...
Posted today
Supervisor, Appeals
OR · On-site +1
$75K - $135K/yr
REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...
Posted today
... from AHA Additional Information All your information will be kept confidential according to EEO guidelines. Sign-on Bonus after successful completion of 90-days orientation period.
... from AHA Additional Information All your information will be kept confidential according to EEO guidelines. Sign-on Bonus after successful completion of 90-days orientation period.
... from AHA Additional Information All your information will be kept confidential according to EEO guidelines. Sign-on Bonus after successful completion of 90-days orientation period.
... from AHA Additional Information All your information will be kept confidential according to EEO guidelines. Sign-on Bonus after successful completion of 90-days orientation period.
Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation's largest home ... The Registered Nurse RN consults as needed with the physician and the office giving details about ...
Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation's largest home ... The Registered Nurse RN consults as needed with the physician and the office giving details about ...
S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.
S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.
Home Health (HH) Registered Nurse RN
Portland, OR · On-site
$61.23/hr
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Home Health RN * Travel Home Health (HH) Registered Nurse : Portland, OR * Travel Nurse Salary ...
Home Health (HH) Registered Nurse RN
Portland, OR · On-site
$61.23/hr
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Home Health RN * Travel Home Health (HH) Registered Nurse : Portland, OR * Travel Nurse Salary ...
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Specialty: Home Health RN * Travel Home Health (HH) Registered Nurse : Mount Angel, OR * Travel ...
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Specialty: Home Health RN * Travel Home Health (HH) Registered Nurse : Mount Angel, OR * Travel ...
Home Health (HH) Registered Nurse RN
Portland, OR · On-site
$61.23/hr
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Home Health RN * Travel Home Health (HH) Registered Nurse : Portland, OR * Travel Nurse Salary ...
Home Health (HH) Registered Nurse RN
Portland, OR · On-site
$61.23/hr
With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United ... Home Health RN * Travel Home Health (HH) Registered Nurse : Portland, OR * Travel Nurse Salary ...
Children's Clinic MA/LPN/RN
La Grande, OR · On-site
$25.75 - $35/hr
Communicate with insurance carriers for medication prior authorization. * Respond appropriately to ... Qualifications: • Degree in nursing from an accredited school of nursing required. • Current ...
Children's Clinic MA/LPN/RN
La Grande, OR · On-site
$25.75 - $35/hr
Communicate with insurance carriers for medication prior authorization. * Respond appropriately to ... Qualifications: • Degree in nursing from an accredited school of nursing required. • Current ...
From Home Prior Authorization Rn information
What is the difference between From Home Prior Authorization Rn vs From Home Medical Coder?
| Aspect | From Home Prior Authorization Rn | From Home Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications like CCM | Medical coding certification (CPC, CCS) |
| Work Environment | Home-based, clinical setting | Home-based, administrative setting |
| Industry Usage | Healthcare, insurance, patient care | Healthcare, billing, insurance claims |
While both roles are remote healthcare positions, From Home Prior Authorization Rn focuses on reviewing medical necessity for insurance approvals, requiring nursing credentials. In contrast, From Home Medical Coder handles medical billing and coding, requiring coding certifications. Both roles support healthcare operations but differ in responsibilities and required qualifications.

Full-time
Medical, Dental, Vision
Re-posted 5 days ago
Job 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!
We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours, a competitive salary, and be a Prior Authorization Nurse with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization Registered Nurse and you meet the qualifications listed below, please click apply below for consideration!
Daily Responsibilities:
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Hours for this Position:
Monday - Friday 9:00 am -6:00 pm or 8-5pm
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Salary:
Negotiated based on relevant job experience
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now.
- Active/Compact State's RN License
- 1 year of case management experience
- Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government sponsored managed care programs is preferred
Interested in being considered?
If you are interested in being considered for this position, please click the apply button below.
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