Um Prior Auth Nurse
1 month ago
Utilizes decision-making and critical-thinking skills in the clinical review and determination of coverage for medically necessary health care services based on established hierarchy of criteria
Knowledge of California Children Services (CCS)
Knowledge of Health Plan DOFR's
Maintain Compliance and CMS regulatory standards
Follow UM Policies & Procedures
Experience in Healthcare/Managed Care
Work closely with UM team and Medical Director
LVN/RN Lic
2 Year Min in Managed Care
Pay: From $36.00 per hour
Expected hours: 40 per week
**Benefits**:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Physical setting:
- Outpatient
**Education**:
- Bachelor's (preferred)
**Experience**:
- Nursing: 3 years (required)
License/Certification:
- BLS Certification (preferred)
- RN OR LVN (required)
Work Location: In person
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Prior
3 weeks ago
Los Angeles, California, United States Aston Carter Full timeHiring ASAP a PriorAuthorization Specialist paying $25/HRLocation: Northridge (100% Onsite)Description:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or...
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Prior
1 week ago
Los Angeles, California, United States Aston Carter Full timeHiring ASAP a PriorAuthorization Specialist paying $25/HRLocation: Northridge (100% Onsite)Description:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or...
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Prior Authorization Coordinator
3 weeks ago
Los Angeles, California, United States Aston Carter Full timeDescription:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or reprocess approved or denied auths and package properly forreview and resolution. Check eligibility...
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Prior Authorization Coordinator
1 week ago
Los Angeles, California, United States Aston Carter Full timeDescription:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or reprocess approved or denied auths and package properly forreview and resolution. Check eligibility...
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Prior Authorization Coordinator
3 weeks ago
Los Angeles, California, United States Aston Carter Full timeDescription:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or reprocess approved or denied auths and package properly forreview and resolution. Check eligibility...
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Prior Authorization Coordinator
1 week ago
Los Angeles, California, United States Aston Carter Full timeDescription:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting. Process requestsfrom Access Express that are pended or reprocess approved or denied auths and package properly forreview and resolution. Check eligibility...
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Prior Authorization Coordinator URENTLY HIRING
3 weeks ago
Los Angeles, California, United States Aston Carter Full timeLARGE MEDICAL GROUP IS HIRING PRIOR AUTHORIZATION COORDINATORSSTART DATE 3/28 $25/HR SCHEDULE: 8:30AM-5:30PM If you're interested please email resume to Description:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting....
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Los Angeles, California, United States Aston Carter Full timeLARGE MEDICAL GROUP IS HIRING PRIOR AUTHORIZATION COORDINATORSSTART DATE 3/28 $25/HR SCHEDULE: 8:30AM-5:30PM If you're interested please email resume to Description:The role of the Prior Auth Coordinator is to promptly, efficiently and accurately execute all aspects ofthe referral process. Facilitating the right care at the right time in the right setting....
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2 months ago
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Prior Authorization Nurse- 226437
2 months ago
Los Angeles, United States Medix™ Full timeMedix is hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Chatsworth, CAPlease note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically is 2-3 weeks) Location: Chatsworth California 91311 United StatesSchedule: Monday-Friday 8:30am-5pAverage...
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Prior Authorization Nurse- 226437
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Los Angeles, CA, United States Medix™ Full timeMedix is hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Chatsworth, CAPlease note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically is 2-3 weeks) Location: Chatsworth California 91311 United StatesSchedule: Monday-Friday 8:30am-5pAverage...
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