Utilization Management Assistant- PRN- Varied Shifts
3 months ago
The Case Manager Assistant under the direct supervision of the Registered Nurse Case Manager will perform clerical duties to include but not be limited to: issuance of regulatory letters, monitoring of Sfax for authorizations and denials, transference of Medicare primary insurance information to ACM, obtaining insurance authorizations telephonically, answering incoming calls to the department.
Responsibilities
The Case Manager Assistant under the direct supervision of the Registered Nurse Case Manager will perform clerical duties to include but not be limited to: issuance of regulatory letters, monitoring of Sfax for authorizations and denials, transference of Medicare primary insurance information to ACM, obtaining insurance authorizations telephonically, answering incoming calls to the department.
- Issue regulatory letters to include: Discharge Important Message from Medicare, MOON, and HOON with documentation of such in AllScripts. Notify RN Case Manager if further explanation to the patient is needed.
- Monitor Sfax for insurance authorizations. Transfer fax to the appropriate RN Case Manager's Sfax folder.
- Monitor Sfax for insurance denials. Transfer fax to the appropriate RN Case Manager's Sfax folder and notify that RN Case Manager of the denial verbally or telephonically.
- Transfer PFM Medicare eligibility note from PFM to ACM
- Verify initial Important Message from Medicare, HOON, or MOON are properly scanned into SCM and document such in the ACM note.
- Obtain current and retrospective insurance authorizations telephonically and notify the appropriate RN Case Manager
- Answer incoming calls to the department. Transfer calls to the appropriate RN Case Manager's or Care Coordinator's phone.
- All other duties as assigned by department
Qualifications
High School Diploma or equivalent is required.
-
Utilization Management Coordinator
1 month ago
St. Augustine, Florida, United States UF Health Full timeAbout the RoleWe are seeking a Utilization Management Coordinator to join our team on a PRN basis. The successful candidate will work closely with our Registered Nurse Case Manager to provide administrative support.Key ResponsibilitiesRegulatory Letter Issuance: Assist in issuing regulatory letters, including Discharge Important Message from Medicare, MOON,...
-
St Augustine, United States UF Health Full timeOverviewMonday-Friday 3p to 11:30p Emergency Department NOT REMOTE The RN Utilization Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources. The Utilization Manager is responsible for ensuring that care is provided at...
-
Medical Imaging Specialist
4 weeks ago
St. Louis, United States PRN Healthcare Full timeJob Title: Medical Imaging SpecialistAbout the Job:PRN Healthcare is seeking a skilled Medical Imaging Specialist to join their team for a 13-week travel assignment in St. Louis, Missouri.The successful candidate will work as an MRI Technologist, utilizing their expertise to capture high-quality images and provide exceptional patient care.Key...
-
MRI Technologist
1 month ago
St. Louis, United States PRN Healthcare Full timeJob Title:MRI Technologist - PRN Healthcare Travel AssignmentAbout the JobWe are seeking a skilled MRI Technologist to join our team for a travel assignment in St. Louis, Missouri.Job SummaryThis is a 13-week contract with 36 hours of work per week, requiring 12-hour shifts on days. The technologist will be responsible for performing MRI scans and ensuring...
-
Utility Operations Specialist
2 weeks ago
St. Augustine, Florida, United States Colas Full timeThe Colas Group, a world leader in transportation infrastructure construction and maintenance, is hiring a Utility Operations Specialist for its Reeves Construction Company subsidiary in St. Augustine, FL. This role involves supervising various phases of utility operation, including installation of storm drainage, water and sewer utilities.Responsibilities: ...
-
Traveling Oncology Nurse for PRN Healthcare
3 weeks ago
St Louis, Missouri, United States PRN Healthcare Full timeAbout the JobWe are seeking an experienced Traveling Oncology Nurse to join our team at PRN Healthcare.This 13-week assignment offers a unique opportunity to work with patients in St. Louis, Missouri, while enjoying the benefits of travel nursing.Job SummaryThe ideal candidate will possess strong clinical skills and a passion for providing exceptional...
-
Electric Utility Field Technician
2 weeks ago
St. Augustine, Florida, United States Peak Utility Services Group Full timeJob OverviewWe are seeking a skilled Electric Utility Field Technician to join our team at Peak Utility Services Group. This role involves reading electric meters throughout assigned areas and regions, ensuring accurate data collection and efficient service delivery.ResponsibilitiesDrive and navigate cities in your region to read meters and disconnect...
-
Nurse Traveler
1 month ago
St. Louis, United States PRN Healthcare Full timeAbout the RolePRN Healthcare is seeking a skilled and compassionate Registered Nurse (RN) to join our team as a travel nurse for a 13-week assignment in St. Louis, Missouri.Job DetailsSpecialty: Medical-Surgical (Med Surg)Discipline: Registered Nurse (RN)Durations: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsThis is a travel nursing opportunity...
-
St Louis, Missouri, United States PRN Healthcare Full timeWe are seeking an experienced Registered Nurse (RN) to join our team as a travel nurse in St. Louis, Missouri. As a travel nurse with PRN Healthcare, you will have the opportunity to work in a dynamic and supportive environment while exploring new destinations.About PRN HealthcarePRN Healthcare is a nationwide healthcare staffing company that prides itself...
-
Medical Imaging Specialist
4 weeks ago
St Louis, Missouri, United States PRN Healthcare Full timeWe are seeking a skilled Medical Imaging Specialist to join our team as a travel MRI Technologist. This exciting opportunity will take you to St. Specialty, where you will work alongside a talented team of healthcare professionals.About the JobThe role involves working 12-hour shifts, days, with a commitment of 36 hours per week. You will have the...
-
Travel Healthcare Professional RN
1 week ago
St. Louis, United States PRN Healthcare Full timePRN Healthcare is a nationwide healthcare staffing company with a mission to create authentic, meaningful relationships with healthcare professionals.Job SummaryWe are currently seeking a travel nurse RN for a telemetry position in St. Louis, Missouri. As a travel nurse RN, you will have the opportunity to work in a variety of settings and gain valuable...
-
Assistant Construction Manager
5 days ago
St Augustine, United States Brandon Construction, LLC Full timeThose with some construction experience but that also have project management & employee management experience are encouraged to apply. THIS IS A NON-REMOTE JOBWe're happy to train!Brandon Construction is a Drug Free Workplace. All new employees are required to take a drug test during their probation period.Work With Senior Managers to Meet Project...
-
Assistant Construction Manager
3 weeks ago
St Augustine, United States Brandon Construction, LLC Full timeThose with some construction experience but that also have project management & employee management experience are encouraged to apply. THIS IS A NON-REMOTE JOBWe're happy to train!Brandon Construction is a Drug Free Workplace. All new employees are required to take a drug test during their probation period.Work With Senior Managers to Meet Project...
-
Medical Travel Professional for Med Surg RN
3 weeks ago
St. Louis, United States PRN Healthcare Full timeAbout the OpportunityWe are seeking a highly skilled Medical Travel Professional to join our team as a Med Surg RN in St. Louis, Missouri.Job DescriptionWork as part of a dynamic team providing high-quality patient care in a hospital setting.Collaborate with healthcare professionals to deliver compassionate and effective care.Utilize strong communication and...
-
Radiology Imaging Specialist
4 weeks ago
St Louis, Missouri, United States PRN Healthcare Full timeJob SummaryWe are seeking a highly skilled Radiology Technician to join our team as a travel professional. As a Radiology Imaging Specialist, you will be responsible for working in a dynamic environment, utilizing your expertise to capture high-quality images and provide exceptional patient care.About PRN HealthcarePRN Healthcare is a leading healthcare...
-
Diagnostic Imaging Specialist
1 month ago
St. Louis, United States PRN Healthcare Full timePRN Healthcare is seeking a skilled Diagnostic Imaging Specialist to join their team on a 13-week contract in St. Louis, Missouri.About the RoleThis dynamic individual will play a crucial role in supporting our patients by utilizing their expertise in Cath Lab procedures.We are looking for an experienced professional who can deliver exceptional results while...
-
Traveling Cardiac Catheterization Specialist
2 weeks ago
St Louis, Missouri, United States PRN Healthcare Full timeAbout the RolePRN Healthcare is seeking a skilled travel Cath Lab Technologist to join their team in St. Louis, Missouri. This 13-week contract will involve working 36 hours per week, with 12-hour shifts.Job SummaryWe are looking for a highly motivated and experienced Cath Lab Technologist to work with our clients in the cardiac catheterization laboratory....
-
Residential Shift Manager
4 weeks ago
St. Augustine, Florida, United States Youth Opportunity Investments, LLC Full timeWe are seeking a highly skilled and compassionate leader to join our team as a Residential Shift Manager. As part of Youth Opportunity Investments, LLC, you will play a vital role in overseeing facility operations and supervising personnel during assigned shifts.Job OverviewThis is a full-time position with a competitive salary range of $55,000 - $65,000 per...
-
RN | Utilization Management | Evenings
3 days ago
Saint Augustine, United States University of Florida Health Full timeRN | Utilization Management | EveningsOverview Monday-Friday 3p to 11:30p Emergency Department The RN Utilization Manager is responsible to facilitate care along a continuum through effective resource coordination tohelp patients achieve optimal health, access to care and appropriate utilization of resources. The Utilization Manager isresponsible for...
-
Travel Nurse RN Contract Opportunity
1 month ago
St. Louis, United States PRN Healthcare Full timeAbout PRN HealthcareOur story starts with a vision to revolutionize healthcare staffing. At PRN Healthcare, we're driven by a passion for creating authentic, meaningful relationships with our valued professionals. This dedication helps us set them up for success in their dream assignment, whether that be a travel contract, local contract, or per diem...