Pre-Authorization Nurse

Job Title: Pre-Authorization Unit SupervisorAt MJHS, we are committed to providing high-quality healthcare services to our patients and members. We are seeking a highly skilled and experienced Pre-Authorization Unit Supervisor to oversee the day-to-day functioning of our MLTC/DSNP pre-authorization functions.Responsibilities:Monitor regulatory requirements...

Job Summary:The Pre-Authorization Unit Supervisor is responsible for overseeing the day-to-day functioning of the MLTC/DSNP pre-authorization functions. This includes reviewing data to monitor regulatory requirements, providing direction for complex cases, and acting as a liaison with interdepartmental communication.Key Responsibilities:Monitor regulatory...

Job Summary:The Pre-Authorization Nurse will play a crucial role in ensuring the timely and compliant provision of services to our health plan members. This position requires a detail-oriented and organized individual with excellent communication skills to work collaboratively with various disciplines to ensure regulatory standards are met.Key...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...

Job DescriptionJob DescriptionThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help...

Empowering Nurses to Make a DifferenceAt Bel Pre Healthcare Center, we're seeking a compassionate and experienced Registered Nurse to join our team as a Nursing Supervisor. As a key member of our leadership team, you'll have the opportunity to inspire and support our nursing staff in delivering exceptional patient care.What We Offer Competitive wages and...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must have an active New York State clinical license. Position Purpose:...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside within New York State. Position Purpose: Analyzes all prior...

Job SummaryWe are seeking a highly organized and detail-oriented Pacu Pre-Op Manager FT to join our team at NYU Langone Health. As a key member of our Occupational Health Services department, you will be responsible for providing exceptional support to our patients and staff.Key ResponsibilitiesProvide reception assistance, including greeting patients,...

Job Summary:This role is responsible for pre-authorization, insurance verification, and calculation of patient portion prior to testing or procedures at Oklahoma Heart Hospital and/or its clinics. The team member will work in a fast-paced environment, collaborating with physicians, nurses, and patients, as well as insurance companies and their staff.Key...

Job SummaryThe Authorization Coordinator will play a critical role in effectively acquiring Radiation Oncology authorizations, addressing denied authorizations, and submitting appeals as needed. This position requires the ability to handle multiple, simultaneous tasks efficiently and demonstrate exceptional communication skills.Key ResponsibilitiesSubmit...

Hospitals on Incredible Health are actively hiring and accepting applications in the New York, NY area for the following position: Registered Nurse - Pre Op. Nurses with experience in any of the following areas are strongly encouraged to apply: CVOR, Circulate, Neuro, On-call required, Open heart, Ortho, PACU experience, Pediatric, RNFA, Robotic surgery,...

At Oklahoma Heart Hospital, we're seeking a skilled Pre-Certification Coordinator to join our team. In this role, you'll be responsible for pre-registering patients, obtaining pre-authorization, and verifying insurance coverage. You'll work closely with physicians, nurses, and patients to ensure seamless care.Key Responsibilities:Obtain pre-authorization for...

Job Summary:We are seeking a highly skilled and organized Secretary II to join our Occupational Health Services team. The successful candidate will be responsible for providing exceptional support services for Medical Office intake operations.Key Responsibilities:Assist with post-visit inter-departmental scheduling for patient visits, treatments, and...

Become an Innoviver!At Innovive Health, our mission is to provide best-in-class home healthcare services to patients with chronic behavioral health issues and complex medical needs. Our team is made up of skilled caregivers, nurses, and operations staff who collaborate to create innovative technology and data-driven solutions while ensuring the best outcomes...

Become an Innoviver!At Innovive Health, our mission is to provide best-in-class home healthcare services to patients with chronic behavioral health issues and complex medical needs. Our team is made up of skilled caregivers, nurses, and operations staff who collaborate to create innovative technology and data-driven solutions while ensuring the best outcomes...