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Manager Prior Authorization Rn Jobs in Illinois (NOW HIRING)

$27.68/hr

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

Prior Authorization Specialist

Peoria, IL · On-site

$18.80 - $22.12/hr

Prior Authorization Specialist OSF HealthCare is dedicated to provide Mission Partners with a ... equivalent (CNA, CPhT, or similar). Other requirements/information: Accurate typing speed of at ...

Prior Authorization Specialist

Hopedale, IL · On-site

$17 - $21.50/hr

... denial management and appeals support * Provide patient financial counseling and charity ... Prior Authorization Processing * Insurance Verification & Benefits Coordination * Medical Office ...

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Initiate and manage appeals for denied authorizations, exploring every possibility for patient ... Prior work experience in a professional office environment is essential. * Previous experience in ...

Prior Authorization Specialist

Aurora, IL · On-site

$18 - $24/hr

Initiate and manage appeals for denied authorizations, exploring every possibility for patient ... Prior work experience in a professional office environment is essential. * Previous experience in ...

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Intake RN-PRN

Champaign, IL · On-site

$45 - $50/hr

Intake RN-PRN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: About ... managing the prior authorization process to ensure patients receive the most appropriate level of ...

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Manager Prior Authorization Rn information

What is the difference between Manager Prior Authorization Rn vs Nurse Case Manager?

AspectManager Prior Authorization RnNurse Case Manager
CredentialsRN license, certifications in prior authorizationRN license, case management certification
Work EnvironmentUtilization review, insurance companies, healthcare administrationPatient advocacy, care coordination, healthcare facilities
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers

The Manager Prior Authorization Rn primarily focuses on reviewing and approving insurance claims for medical procedures, ensuring compliance with policies. Nurse Case Managers coordinate patient care, advocate for patients, and manage treatment plans. While both roles require RN licensure and healthcare knowledge, the Manager Prior Authorization Rn emphasizes administrative review, whereas Nurse Case Managers are more involved in direct patient care coordination.

Is manager prior authorization RN a stressful job?

Manager Prior Authorization RNs often experience stress due to managing complex approval processes, strict deadlines, and high caseloads. The role requires strong organizational skills and attention to detail, which can contribute to job pressure, especially in fast-paced healthcare environments.

What are the most commonly searched types of Prior Authorization Rn jobs in Illinois?

The most popular types of Prior Authorization Rn jobs in Illinois are:

What cities in Illinois are hiring for Manager Prior Authorization Rn jobs?

Cities in Illinois with the most Manager Prior Authorization Rn job openings:

$27.68/hr

Full-time

Posted 17 days ago


Job description

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.

RN Prior Authorization

Job Description

Prior Authorization RN is responsible to obtain prior authorization for medications and/or procedures when required by the patient's health insurance company. The RN routinely communicates and collaborates with patients, insurance companies, other departments, and healthcare providers.

Hours: Full-time/40 hours per week

Required: RN; ADN

Pay: Based on experience, starting at $27.68 per hour

Responsibilities

Assists with other tasks to support patients or team members., Assists with other tasks to support patients or team members., Documents results of authorization approval/denial in the patient chart., Maintains up-to-date knowledge of new medications/procedures and diagnoses for which the treatment is effective., Notifies the ordering healthcare provider and patient if authorization is denied and works to help resolve the denial in an effort to gain approval., Notifies the ordering healthcare provider and patient if authorization is denied and works to help resolve the denial in an effort to gain approval., Obtains current patient demographics and insurance benefits from Registration., Obtains current patient demographics and insurance benefits from Registration., Requests authorization after medications / procedures have been provided when needed., Requests authorization after medications / procedures have been provided when needed., Responsible for contacting patients' insurance companies to obtain prior authorization (if required) for medications and/or procedures ordered by the healthcare provider., Serves as a customer service representative and liaison among patient, insurance company, and medical staff., Serves as a customer service representative and liaison among patient, insurance company, and medical staff., Works closely with the healthcare provider's office nurse to ensure proper authorization is obtained. Collects insurance benefit information, sends supporting medical records, and provides benefits of medication and/or procedures ordered., Works closely with the healthcare provider's office nurse to ensure proper authorization is obtained. Collects insurance benefit information, sends supporting medical records, and provides benefits of medication and/or procedures ordered.

Requirements

ADN (Required)RN-Registered Nurse - Illinois Department of Financial and Professional Regulation

Compensation

Estimated Compensation Range

$27.68 - $42.90

Pay based on experience