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Manager Prior Authorization Rn Jobs in Iowa (NOW HIRING)

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

Communication with Nurse Manager and/or RN status of denials and appeals. Assist in the ... Previous prior authorization and coding experience is preferred. * General computer knowledge is ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

Communication with Nurse Manager and/or RN status of denials and appeals. Assist in the ... Previous prior authorization and coding experience is preferred. * General computer knowledge is ...

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 ...

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 ...

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 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

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

Spencer, IA · On-site

Registered Nurse Wolfe Eye Clinic - Better vision, for a better life! Join the team that ... 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 ...

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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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 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

Prior Authorization Representative

Le Mars, IA • On-site

Avera Health
Hospitals • 10K+ employees
Learn more about Avera Healthexternal

$16 - $19.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 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
Come join our award-winning team at Floyd Valley Healthcare as a Centralized Authorization Department Representative.
Floyd Valley Healthcare in Le Mars, IA has a full-time Centralized Authorization Representative position (40 hours per week). The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and/or medical experience of 2+ years with a strong understanding of medical terminology.
Floyd Valley offers a positive culture that supports a healthy work-life balance. Our Mission is to be a progressive healthcare partner serving with compassion, integrity and excellence.
Responsibilities:
  • Determine eligibility for all applicable payors by obtaining prior authorization 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 document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary.
  • Utilization of electronic medical record to efficiently process required prior authorizations and communication with in the organization.
  • Communication with Nurse Manager and/or RN status of denials and appeals. Assist in the coordination of medical records retrieval to support appeal process.
  • Hours are Monday-Friday, 8:00am-4:30pm.
Requirements:
  • Degree in the medical field and/or 2+ years working in a medical environment.
  • Strong understanding of medical terminology.
  • Knowledge in ICD-10 and CPT is preferred.
  • Previous prior authorization and coding experience is preferred.
  • General computer knowledge is required.
  • Mandatory Reporter training certificate a plus; certification is required as an employee.
We are proud to offer:
  • Student Debt Program
  • IPERS Retirement
  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA)
  • Short-term and Long-term Disability Insurance
  • Life Insurance
  • Fitness Center
  • Paid Time Off
  • Competitive pay based on experience

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, and public health. 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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