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Overnight Prior Authorization Rn Jobs in Ohio (NOW HIRING)

Kettering Health

RN Cardiac Svc Line

Kettering, OH · On-site

The Registered Nurse utilizes the nursing process in providing nursing care to patients in all ... completes prior authorization for LAAC procedure * Collaborates with LAAC implanters to plan ...

Kettering Health

RN Cardiac Svc Line

Kettering, OH · On-site

The Registered Nurse utilizes the nursing process in providing nursing care to patients in all ... completes prior authorization for LAAC procedure * Collaborates with LAAC implanters to plan ...

Kettering Health

RN Cardiac Svc Line

Kettering, OH · On-site

... completes prior authorization for LAAC procedure * Collaborates with LAAC implanters to plan ... The Registered Nurse utilizes the nursing process in providing nursing care to patients in all ...

Heartland Hospice

Registered Nurse On Call

Akron, OH · On-site

$71K - $89K/yr

Overview Registered Nurse - On Call RN - 7 Days On, 7 Days Off Lead with Heart. Be the Difference ... Prior experience in on-call or overnight nursing roles • Strong documentation and electronic ...

Signature Health Inc

RN

Willoughby, OH · On-site

... Nursing-Psychiatry the Registered Nurse (RN), Psychiatry will be instrumental in providing ... Complete appropriate prior authorizations and patient assistance forms. * Review patient ...

Signature Health Inc

RN

Willoughby, OH

... Nursing-Psychiatry the Registered Nurse (RN), Psychiatry will be instrumental in providing ... Complete appropriate prior authorizations and patient assistance forms. * Review patient ...

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Overnight Prior Authorization Rn information

What is the difference between Overnight Prior Authorization Rn vs Medical Assistant?

AspectOvernight Prior Authorization RnMedical Assistant
CredentialsRegistered Nurse (RN) licensePost-secondary certificate or diploma
Work EnvironmentHospitals, clinics, insurance companiesDoctor's offices, clinics, outpatient facilities
Job FocusReviewing insurance authorizations, patient advocacyAssisting with patient care, administrative tasks

The Overnight Prior Authorization RN primarily handles insurance approvals and patient advocacy during overnight shifts, requiring RN licensure. In contrast, Medical Assistants focus on direct patient care and administrative support in outpatient settings. While both roles support healthcare operations, their credentials, responsibilities, and work environments differ significantly.

What is an Overnight Prior Authorization RN?

An Overnight Prior Authorization RN is a Registered Nurse who works overnight shifts to review and process requests for prior authorization of medical services, procedures, or medications. Their role involves evaluating clinical documentation to determine if requested treatments meet insurance or organizational guidelines for approval. These nurses collaborate with providers, patients, and insurance companies to ensure timely and appropriate care. Working overnight allows for 24/7 coverage, supporting urgent cases and maintaining continuous workflow in healthcare authorization departments.

What are some unique challenges faced by Overnight Prior Authorization RNs, and how can they effectively manage them?

Overnight Prior Authorization RNs often work independently with limited immediate support, which can present challenges such as handling complex cases without direct peer consultation and maintaining focus during non-traditional hours. They must be adept at managing high volumes of authorization requests, prioritizing urgent cases, and communicating effectively with providers and insurance companies outside regular business hours. Staying organized, utilizing clear documentation, and leveraging electronic health record systems can help manage workload efficiently. Building strong relationships with day-shift colleagues for smooth case handoffs is also crucial for success in this role.

What are the key skills and qualifications needed to thrive as an Overnight Prior Authorization RN, and why are they important?

To thrive as an Overnight Prior Authorization RN, you need a current RN license, strong clinical judgement, and in-depth knowledge of insurance guidelines and medical necessity criteria. Familiarity with prior authorization software, electronic health records (EHR), and payer-specific systems is typically required. Exceptional attention to detail, critical thinking, and effective communication skills are vital for navigating complex cases and collaborating remotely. These skills ensure timely and accurate authorization decisions, supporting patient care and compliance during overnight shifts.
What are the most commonly searched types of Prior Authorization Rn jobs in Ohio? The most popular types of Prior Authorization Rn jobs in Ohio are:
What cities in Ohio are hiring for Overnight Prior Authorization Rn jobs? Cities in Ohio with the most Overnight Prior Authorization Rn job openings:
Overnight Prior Authorization Rn jobs near you
RN Cardiac Svc Line

RN Cardiac Svc Line

Kettering Health

Kettering, OH • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Kettering Health rating

7.3

Company rating: 7.3 out of 10

Based on 188 frontline employees who took The Breakroom Quiz

302nd of 886 rated healthcare providers

Job description

Job Details

Kettering Health Main Campus | Kettering | Full-Time | Days

Responsibilities & Requirements

Responsibilities 

  • The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers.
  • The RN is accountable for his/her own professional development and practice within the scope of care defined by law.
  • Utilizing organizational resources the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities.
  • The delivery of nursing care within the Kettering Health Network reflects the missions, vision, values and philosophies, of the organization and nursing departments

Qualifications

Applicants Must Have: 

  • Licensed in the state of Ohio as a Registered Nurse
  • Graduate of an accredited school of nursing (ACEN or CCNE) if they are a new graduate nurse.
  • Bachelor of Science in nursing preferred (must be completed within 5 years of hire).
  • A nurse who is returning to the acute care setting after five or more years may be required to provide evidence of successful completion of a refresher course.
  • BLS certification
  • ACLS, NRP, PALS as determined by unit scope of practice
Preferred Qualifications

POSITION: LAAC Coordinator

The LAAC Coordinator functions under the direction of the Structural Heart Program manager.  The LAAC Coordinator serves as a central figure in the care coordination and participates in clinical management of patients with atrial fibrillation with a specific emphasis on left atrial appendage closure procedures. 

Minimum five years clinical experience with three-five years in cardiac nursing and/or broad knowledge in LAAO/Structural Heart disease. Demonstrated computer and electronic health documentation, data entry and management and information presentation.

BLS and ACLS required- Must be completed within 60 days of hire

  • Must be able to communicate clearly, establish and maintain effective working relationships with multidisciplinary teams
  • Good prioritization skills
  • Responsible for assisting with management, growth of LAAC program
  • Excellent communication skills, both verbal and written
  • Ability to maintain detailed, accurate records
  • Must possess high degree of self-motivation and ability to function independently while utilizing critical thinking skills
  • Ability to adapt to change, multitask and manage stressful situations
  • Proficient in Microsoft office products especially Excel spreadsheets and Power Point
  • Monitors outcomes and oversees process improvement activities associated with LAAC program in collaboration with clinical and leadership teams to drive quality outcomes
  • Responsible for maintaining all regulatory guidelines and requirements
  • Facilitate activities associated with system expansion of LAAC program including physician and clinical staff education
  • Coordinates referral process and introduces patients to LAAC program
  • Educates patient and family regarding LAAC process, indications, procedure, and follow-up
  • Schedules and completes prior authorization for LAAC procedure
  • Collaborates with LAAC implanters to plan, develop, and implement decisions made for each patient's plan of care
  • May complete any other tasks as indicated by manager
Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Employment Type: FULL_TIME

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