ZipRecruiter

Log In

1

Hsag Jobs (NOW HIRING)

Care Navigators On Demand

$39 - $45/hr

Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management. 6.Knowledgeable with the pre-authorization process and workflow, with prior authorization experience ...

Eisenhower

RN-Care Coordinator

Rancho Mirage, CA · On-site

$53 - $82.08/hr

... Medicare/HSAG, federal and state and guidelines, Knowledgeable about regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition ...

People also search for

All JobsHsag Jobs

Hsag information

See salary details

$11

$17

$27

How much do hsag jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for hsag in the United States is $17.98, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $20.19 per hour, depending on experience, location, and employer.

What are HSAGs?

HSAG stands for Health Services Advisory Group. HSAGs are organizations that work to improve the quality of healthcare services by evaluating care, providing technical assistance, and supporting quality improvement initiatives for healthcare providers and government agencies. They often serve as Quality Improvement Organizations (QIOs) for Medicare and Medicaid programs, helping to ensure that beneficiaries receive safe, effective, and efficient care. HSAGs may also conduct audits, offer training, and support data analysis to enhance healthcare outcomes.

What are the key skills and qualifications needed to thrive as a Health Services Advisory Group (HSAG) professional, and why are they important?

To thrive as a Health Services Advisory Group (HSAG) professional, you typically need expertise in healthcare quality improvement, data analysis, and regulatory compliance, often supported by a degree in nursing, public health, or a related field. Familiarity with quality measurement tools, healthcare data systems, and CMS (Centers for Medicare & Medicaid Services) reporting platforms is essential. Strong analytical thinking, attention to detail, and effective communication are valuable soft skills in this role. These skills enable professionals to drive healthcare quality initiatives, ensure regulatory adherence, and collaborate effectively with healthcare organizations for optimal patient outcomes.

What are some common challenges faced by Health Services Advisory Group (HSAG) professionals when working on quality improvement projects?

Professionals at HSAG often encounter challenges such as managing diverse stakeholder expectations, navigating complex healthcare regulations, and addressing data quality issues when evaluating program outcomes. Collaborating with healthcare providers and government agencies requires strong communication and project management skills to ensure alignment and timely project delivery. Additionally, adapting to evolving healthcare standards while maintaining high-quality reporting can be demanding but offers significant opportunities for professional growth.

What is the difference between Hsag vs Safety Coordinator?

AspectHsagSafety Coordinator
CertificationsOSHA 30-hour, Hsag-specific trainingOSHA 30-hour, safety certifications
Work EnvironmentConstruction sites, industrial settingsOffice, construction sites, industrial environments
Employer & Industry UsageConstruction companies, industrial firmsConstruction, manufacturing, corporate safety departments

Both Hsag and Safety Coordinator roles focus on safety compliance and risk management. Hsag typically refers to a specific safety role within construction or industrial settings, often requiring specialized training. Safety Coordinators have broader responsibilities across various industries, overseeing safety programs and compliance. While overlapping in certifications and work environments, Hsag roles are more specialized, whereas Safety Coordinators often handle wider safety management tasks.

More about Hsag jobs
What cities are hiring for Hsag jobs? Cities with the most Hsag job openings:
What states have the most Hsag jobs? States with the most job openings for Hsag jobs include:
What job categories do people searching Hsag jobs look for? The top searched job categories for Hsag jobs are:
Hsag jobs near you

Prior Authorization RN Case Manager-Urgent

Care Navigators On Demand

On-site

$39 - $45/hr

Full-time

Posted 9 days ago

Job description

Job Description
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 medical care by applying clinicalacumen and the appropriate application of policies and guidelines toprior authorization specialty referral requests. The PACM will reviewfor appropriate care and setting, and following guidelines/policies,will approve services when indicated. If not indicated, PACM willforward requests to the appropriate physician or medical director withrecommendations for other determinations, ensuring that the member isreceiving the appropriate quality care in a preferred setting, whilemaking sure regulatory guidelines are followed.
Responsibilities
1.Understand, promote and review with appropriate medical management tofacilitate the right care at the right time in the right setting.
2.Communicate effectively and interact with providers, staff and healthplans daily regarding medical management and referral authorizationissues.
3. Maintain a working relationship with PACMcolleagues, the pre-auth coordinator team, high-risk nurse casemanagers, inpatient nurse case managers, medical directors, and networkmanagement.
4. Research alternative care plans and whennecessary, assist in the routing of members to the most appropriatecare/setting, in order to provide right care/right setting.
5.When necessary, act as liaison between the case managers, UMcoordinators, contracted providers (PCPs/specialists/ancillary), and themembers/families.
6. Perform case reviews based on keyscreening outpatient indicators, and evaluate the PCP submitted plan ofcare for completeness of documentation, consistency of treatment withmedical groups clinical practice guidelines, adherence to standardevidence-based or consensus guidelines, and health plan and CMSguidelines and/or medical policies.
7. Maintain regulatory Turnaround Time Standards per regulatory guidelines.
8. Document accurately and completely all necessary information in authorization notes.
9. Understand all applicable capitation contracts and how they apply to review duties.
10.For those PACMs involved in DME, understand the contracts, and need toreview rental vs. purchase approvals, and continued use so thatequipment is picked up when needed.
11. Whenappropriate, coordinate and review for medical necessity and appropriateutilization any ancillary professional services, i.e. (home health,infusion, PT, OT, ST, etc.).
12. Demonstrates theability to follow through with requests, sharing of criticalinformation, and getting back to individuals in a timely manner.
13.Participates in "service recovery" through follow-up with an upsetpatient or provider, gathering information, and demonstrating empathy.
14. Identifies network needs and reports to management for potential contracting opportunities.
Qualifications
1.Graduated from an accredited Registered Nursing Program
2.Current California RN License
3.Minimum of 1 year acute experience
4.Knowledge of Managed Care preferred.
5.Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management.
6.Knowledgeable with the pre-authorization process and workflow, with prior authorization experience preferred.
7.Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
8.Ability to deal with responsibility of confidential matters
9.Ability to work in a multi-tasking, fast-paced, high-stress environment.
Compensation
$38-$42/Hr
Negotiable based on experience

Apply