$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 ...
$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 ...
$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 ...
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 ...
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 ...
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 ...
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 ...
Chicago, IL · On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Quick apply
Chicago, IL · On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Chicago, IL · On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
Quick apply
Chicago, IL · On-site
$15 - $18/hr
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager ... track prior authorizations needing additional follow up. Excellent Customer Service Skills and ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
... and nursing network, and third-party logistics provider, we work with biopharma, providers, and ... Ability to multitask and manage priorities effectively * Flexibility to work overtime as needed
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... and nursing network, and third-party logistics provider, we work with biopharma, providers, and ... Ability to multitask and manage priorities effectively * Flexibility to work overtime as needed
Elk Grove Village, IL · On-site
$23/hr
... and nursing network, and third-party logistics provider, we work with biopharma, providers, and ... Ability to multitask and manage priorities effectively * Flexibility to work overtime as needed
Elk Grove Village, IL · On-site
$23/hr
... and nursing network, and third-party logistics provider, we work with biopharma, providers, and ... Ability to multitask and manage priorities effectively * Flexibility to work overtime as needed
Northbrook, IL · On-site
$70K - $85K/yr
Insurance And Prior Authorization Manager Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, USA Clinics Group has grown into the nation ...
Northbrook, IL · On-site
$70K - $85K/yr
Insurance And Prior Authorization Manager Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, USA Clinics Group has grown into the nation ...
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
Northbrook, IL · On-site
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
Northbrook, IL · On-site
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
Northbrook, IL · On-site
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
Northbrook, IL · On-site
$70K - $85K/yr
The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers ...
Lisle, IL · On-site
$17.25 - $21/hr
The Prior Authorization Technician will assist callers by providing quality service through ... Pharmacy Benefit Management Company Innovative principles in the management of prescription drug ...
Lisle, IL · On-site
$17.25 - $21/hr
The Prior Authorization Technician will assist callers by providing quality service through ... Pharmacy Benefit Management Company Innovative principles in the management of prescription drug ...
Lisle, IL · On-site
$17.25 - $21/hr
The Prior Authorization Technician will assist callers by providing quality service through ... Pharmacy Benefit Management Company Innovative principles in the management of prescription drug ...
Lisle, IL · On-site
$17.25 - $21/hr
The Prior Authorization Technician will assist callers by providing quality service through ... Pharmacy Benefit Management Company Innovative principles in the management of prescription drug ...
Lisle, IL · On-site
$57.50 - $69/hr
Pharmacist will be responsible for supporting the Prior Authorization program as well as other ... Communicate PA/appeal requirements to healthcare providers as requested. Assist the PA managers and ...
Lisle, IL · On-site
$57.50 - $69/hr
Pharmacist will be responsible for supporting the Prior Authorization program as well as other ... Communicate PA/appeal requirements to healthcare providers as requested. Assist the PA managers and ...
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 ...
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 ...
| Aspect | Manager Prior Authorization Rn | Nurse Case Manager |
|---|---|---|
| Credentials | RN license, certifications in prior authorization | RN license, case management certification |
| Work Environment | Utilization review, insurance companies, healthcare administration | Patient advocacy, care coordination, healthcare facilities |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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.
The most popular types of Prior Authorization Rn jobs in Illinois are:
Cities in Illinois with the most Manager Prior Authorization Rn job openings:
$27.68/hr
Full-time
Posted 17 days ago
Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.
RN Prior AuthorizationJob 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 RegulationCompensation
Estimated Compensation Range
$27.68 - $42.90Pay based on experience