Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Utilization Review Clinician
Chicago, IL · On-site
Prior Authorization for Admission: * Review clinical documentation against payor medical necessity ... Active, unrestricted Illinois license: LCSW, LCPC, LMFT, or RN. * 2 or more years of post licensure ...
Utilization Review Clinician
Chicago, IL · On-site
Prior Authorization for Admission: * Review clinical documentation against payor medical necessity ... Active, unrestricted Illinois license: LCSW, LCPC, LMFT, or RN. * 2 or more years of post licensure ...
Hospice Registered Nurse, RN
Elgin, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Elgin, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Evanston, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Evanston, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Elmhurst, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Elmhurst, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Waukegan, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Waukegan, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Chicago, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Chicago, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Obtains covered stay certification and prior authorization as appropriate. * Refers cases when ... EDUCATION * Bachelors Nursing Required * 3 Required RN Case Manager Expereince * Licensed ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Waukegan, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Waukegan, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Elgin, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Elgin, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Hospice Registered Nurse, RN
Lisle, IL · On-site
NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...
Internship Prior Authorization Rn information
See Chicago, IL salary details
$9.41 - $10.69
1% of jobs
$10.69 - $11.98
0% of jobs
$11.98 - $13.26
3% of jobs
$13.26 - $14.54
11% of jobs
$14.92 is the 25th percentile. Wages below this are outliers.
$14.54 - $15.83
35% of jobs
The median wage is $15.88 / hr.
$15.83 - $17.11
13% of jobs
$18.32 is the 75th percentile. Wages above this are outliers.
$17.11 - $18.39
14% of jobs
$18.39 - $19.68
11% of jobs
$19.68 - $20.96
12% of jobs
$20.96 - $22.24
1% of jobs
$22.24 - $23.53
1% of jobs
$9
$17
$23
How much do internship prior authorization rn jobs pay per hour?
What is the difference between Internship Prior Authorization Rn vs Medical Billing Specialist?
| Aspect | Internship Prior Authorization Rn | Medical Billing Specialist |
|---|---|---|
| Credentials | RN license, internship experience | Certification in medical billing or coding |
| Work Environment | Hospitals, clinics, healthcare facilities | Medical offices, billing companies, healthcare providers |
| Employer & Industry Usage | Healthcare providers requiring authorization for patient care | Healthcare billing and insurance reimbursement |
The Internship Prior Authorization RN focuses on obtaining approval for patient treatments, requiring nursing credentials and clinical experience. In contrast, a Medical Billing Specialist handles billing processes, insurance claims, and coding. Both roles are essential in healthcare but serve different functions—one ensures proper authorization for care, the other manages financial reimbursement.
What are the most commonly searched types of Prior Authorization Rn jobs in Chicago, IL?
The most popular types of Prior Authorization Rn jobs in Chicago, IL are:
Full-time
Re-posted 24 days ago
Job description
Case Manager is responsible for chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of resources and optimal outcomes. Responsible for coordinating the patient's plan of care from admission to discharge and or transfer to another level of care.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)
- Applies to individual case, through chart review, third payer regulations that govern admissions, continued stay, and discharge, i.e. IS/SI.
- Collects data related to clinical improvement initiatives for the purpose of developing action plans.
- Conducts concurrent chart reviews to assure complete and accurate medical records documentation.
- Coordinates the patient's plan of care with all members of the health care team including the patient, caregiver, and or family members and case management.
- Demonstrates proficiency in patient assessment and documentation.
- Interviews and assesses patients to determine potential barriers to timely discharge/transfer to another level of care.
- Provides all payers with accurate, updated information.
- Obtains covered stay certification and prior authorization as appropriate.
- Refers cases when appropriate to physician advisor for medical necessity, continued stay, physician education and appropriate level of care.
- Refers to Social Services when appropriate.
- Ensures discharge planning to the appropriate level of care, sub-acute, hospital units, and outpatient services.
- Supports hospital CQI programs by participation on relevant teams.
Qualifications
JOB SPECIFICATIONS(Minimum Requirements)
KNOWLEDGE, SKILLS, AND ABILITIES
- Knowledge of appropriate and timely return transition levels of care.
- Knowledge of CARF, Regulatory Agencies and State Board of Health, Long Term Care, Acute Care and Ambulatory Care Standards.
- Demonstrates excellent interpersonal and problem-solving skills.
- Demonstrates self-directed, goal orientated and customer service.
- Excellent organizational and prioritization skills to meet deadlines.
- Capable of functioning effectively across service lines.
- Ability to assess and interpret data about the patient's status in order to identify each patients age, specific needs and provide the care needed by the infant, child, adolescent, young adult, middle adult and geriatric patient.
- Ability to independently perform comprehensive chart review with subsequent abstraction or relevant information including interpretation of lab results, EKG and other medical tests.
- Ability to communicate effectively both verbally and in writing.
- Ability to provide compassionate patient care orientated with an effort for timeliness and accuracy in the delivery of service.
- Ability to respond positively to the needs of patients and family.
- Addresses customer concerns in a private, respectful and calm manner.
EDUCATION
- Bachelors Nursing Required
- 3 Required RN Case Manager Expereince
- Licensed Registered Nurse
- Certified Cardiac Pulmonary Resuscitation
STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.
CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.
DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.
About Methodist Hospitals
Sourced by ZipRecruiter
Methodist Hospitals is a reputable institution in the healthcare and medical industry with its base in Gary, Indiana, United States. A trusted name in comprehensive medical services, the organization is primarily known for its robust offering in the fields of emergency and acute medical care, tracking back its foundational roots to the year 1923. Catholic nun Sister Gesuina set up the hospital with the sole mission of providing affordable healthcare services to the residents of Gary. Today, their mission stays true to promoting health, healing, and well-being in the communities they serve, encompassing a diverse representation of races, ethnicities, genders, ages, religions, abilities, and sexual orientations.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Gary, IN, US
Year founded
1923