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Manager Prior Authorization Rn Jobs in Iowa (NOW HIRING)

Medical Associates

LPN or RN - Rheumatology

Dubuque, IA · On-site

$25.75 - $35/hr

Coordinate and manage prior authorization requests for medications and procedures. Work closely ... Valid LPN/RN Licensure with the ability to practice in Iowa. Interpersonal Skills - A significant ...

Wolfe Eye Clinic

Registered Nurse

Spencer, IA · On-site

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

WOLFE EYE CLINIC MASTER

Registered Nurse

Spencer, IA · On-site

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

Wolfe Eye Clinic

Registered Nurse

Cedar Falls, IA · On-site

Our specialists are not only experts in diagnosing, managing and surgically treating acute and ... Complete prior authorizations for procedures. * Schedule or reschedule clinic and surgical ...

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All JobsPrior Authorization Rn JobsManager Prior Authorization Rn JobsManager Prior Authorization Rn Jobs in Iowa

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.

What cities in Iowa are hiring for Manager Prior Authorization Rn jobs? Cities in Iowa with the most Manager Prior Authorization Rn job openings:
Manager Prior Authorization Rn jobs near you

Centralized Authorization Manager (Nurse Manager - Pre-Authorization)

Avera Health

Le Mars, IA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Location:
Le Mars, IA
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Floyd Valley Healthcare is proud to offer a positive and fulfilling work environment that supports a healthy work-life balance. We understand that our employees have choices, and we strive to be an employer of choice for our team.
Position Highlights
Floyd Valley Healthcare in Le Mars, IA has a full-time position (40 hours per week) in our Centralized Prior Authorization department.
We are looking for an AMAZING Centralized Prior Authorization RN Manager with a "Get It Done" attitude! The ability to work with a TEAM in a collaborative and communicative environment is a MUST!
Centralized Prior Authorization Department Manager Responsibilities:
  • Promotes the mission, vision and values of Floyd Valley Healthcare
  • Directs and coordinates the centralized prior authorization process for the hospital, clinic, and outpatient clinical service departments.
  • Interviewing, hiring, training and ongoing development of department staff.
  • Assist with the review and establishment of operating policies and procedures for the department.
  • Determines eligibility for all applicable payors by obtaining prior authorizations from insurers for medical tests, procedures, surgeries and any other prior authorizations required by the patient's insurance carrier or Local Coverage Determination (LCD) if needed.
  • Appropriately documents prior authorization and communicates information to performing facility, physician, clinic staff and patient and/or patient's family as necessary.
  • Demonstrates technological knowledge and skills sufficient to integrate the use of health care technology and/or information management systems as it pertains to prior authorizations.
  • Appropriately documents prior authorization and communicates information to performing facility physician, clinic staff and patient and/or patient's family as necessary.
  • Utilization of electronic medical record and efficiently process required prior authorizations and communication within organization.
  • Coordination with utilization review department with evaluation and processing of level of care authorizations.

Centralized Prior Authorization Department Manager Requirements:
  • Associates of Nursing, Bachelor of Nursing is preferred. 2 years of healthcare experience.
  • Licensed as a registered nurse in Iowa and/or meets the requirements of multi-state licensure required.
  • Knowledge in ICD-10 and CPT coding is preferred.
  • General computer knowledge is required.
  • Previous supervision and coding experience preferred.
  • Mandatory Reporter training certificate a plus; certification is required as an employee.

We are proud to offer:
  • IPERS Retirement
  • Medical, dental, and vision insurance
  • Short-term and long-term disability insurance
  • Life Insurance
  • Fitness center
  • Wellness program
  • Paid time off
  • Excellent training for new RNs and RNs returning to the workplace
  • Salary based on experience
  • Education opportunities for advanced certification

About Floyd Valley Healthcare:
Floyd Valley Healthcare is a 25-bed critical access hospital and is located in Le Mars, Iowa home of "The Ice Cream Capital of the World!" Floyd Valley Healthcare has had a rich history of serving the healthcare needs of people in Le Mars, Iowa and the surrounding communities. Today Floyd Valley includes the hospital, family medicine clinics in Le Mars, Marcus and Remsen, public health and Park Place Estates Assisted Living. We serve people in their homes through home health and home medical services. Floyd Valley Healthcare is licensed by the State of Iowa, affiliated with the Avera System of Sioux Falls, South Dakota and is a member of the Iowa and American Hospital Associations.
Pre-employment drug screen, background check, and employee health review including required immunizations are required. FVH participates in E-Verify.
Floyd Valley Healthcare is an Equal Opportunity Employer committed to providing an environment of opportunities to all applicants and employees without regard to race, color, religion, marital status, age, national origin, physical or mental disability, pregnancy, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected by law.
Avera Health logo

About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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