Nurse Practitioner, Authorization Clinical Reviewer

Job Summary:Atlantic Health System is seeking a highly qualified and experienced Nurse Practitioner to support Atlantic Medical Group Primary Care as an Authorization Clinical Reviewer. This non-clinical, part-time, and fully remote position requires the nurse practitioner to work 22.5 hours per week, reviewing patient information to ensure treatment and...

The Authorizations Specialist I is responsible for securing medical authorizations from third party payers (commercial and government) for post-acute services; will be instrumental in obtaining written documentation, tracking, prioritizing, and reporting outcomes of each authorization request. Summary: + Completes full financial clearance of upcoming...

Job Overview:Zelis Healthcare is seeking a skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria. Your expertise will help identify revenue opportunities and ensure accurate payment processing.Key Responsibilities:Conduct...

Job SummaryThe Authorization Specialist I plays a critical role in securing medical authorizations from third-party payers for post-acute services. This position is responsible for obtaining written documentation, tracking, prioritizing, and reporting outcomes of each authorization request.Key ResponsibilitiesCompletes full financial clearance of upcoming...

The Authorizations Specialist I is responsible for securing medical authorizations from third party payers (commercial and government) for post-acute services; will be instrumental in obtaining written documentation, tracking, prioritizing, and reporting outcomes of each authorization request. Summary: + Completes full financial clearance of upcoming...

Job SummaryWe are seeking a skilled Medical Prior Authorization Specialist to support our team at Atlantic Health System. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.Key ResponsibilitiesInitiate and manage the...

Join Our Team as a Post-Acute Care Nurse PractitionerWe are seeking a skilled and compassionate Nurse Practitioner to join our team at TeamHealth in Morristown, New Jersey. As a post-acute care nurse practitioner, you will have the opportunity to make a meaningful difference in the lives of your patients by providing high-quality care in a skilled nursing...

Job Title: Nurse ReviewerZelis is seeking a skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments.Key...

Job Title: Endocrinology Nurse PractitionerAtlantic Health System, a leading non-profit healthcare network in New Jersey, is seeking a skilled Endocrinology Nurse Practitioner to join our team. This role is ideal for a motivated and experienced NP who is passionate about delivering high-quality patient care.About the Role:Provide specialty-level diabetes...

Job Summary:We are seeking a skilled Medical Prior Authorization Specialist to support our team in delivering exceptional care to our patients. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.Key...

Atlantic Health System is seeking a skilled Nurse Practitioner to support the Endocrine Services team. This role is ideal for an ambitious and experienced NP who can provide specialty level diabetes care in the outpatient and inpatient clinical setting.The ideal candidate will have 2-3 years of clinical experience, preferably in an acute care and/or...

Atlantic Health System is seeking a highly skilled Diabetes Nurse Practitioner (NP) to support the Endocrine Services in an outpatient and inpatient clinical setting. This role is ideal for an ambitious and experienced NP who can provide specialty level diabetes care and work alongside physicians to deliver advanced primary and specialty nursing services.The...

Job Title: Nurse Practitioners and Physician AssistantsDispatchHealth is seeking experienced Nurse Practitioners and Physician Assistants to join our team of healthcare professionals. As a key member of our clinical care team, you will provide high-quality, patient-centered care in the comfort of patients' homes.Responsibilities:Work collaboratively with a...

Job Overview:The Advanced Practice Nurse or Clinical Nurse Specialist (APN or CNS) provides an advanced level of nursing care based upon graduate education and broad experience with behavioral health patients and their families. The APN/CNS practices in collaboration with the physicians, nurses and other health care professionals. The APN/CNS practices and...

Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical...

Job Title: Clinical Reviewer - Healthcare Financial ExpertJob Summary:Zelis is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for conducting in-depth reviews of medical claims to ensure accuracy and compliance with regulatory guidelines.Key Responsibilities:Conduct thorough reviews of medical claims to...

Job SummaryEnvision Physician Services - EM/HM is seeking a highly skilled and experienced Emergency Medicine Physician Assistant/ Nurse Practitioner to join our team.Key ResponsibilitiesProvide high-quality patient care in an emergency medicine settingCollaborate with physicians and other healthcare professionals to ensure seamless patient careDevelop and...

Job Title: Nurse Practitioner - Skilled Nursing FacilityWe are seeking a skilled and dedicated Nurse Practitioner to join our team at a skilled nursing facility in Morristown, New Jersey. As a Nurse Practitioner, you will be responsible for providing high-quality patient care, managing chronic diseases, and implementing plans of care.Key...

Job SummaryWe are seeking a skilled Medical Prior Authorization Specialist to play a critical role in our team. The ideal candidate will be responsible for obtaining prior authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies.Key ResponsibilitiesCoordinate with various departments...

The selected Nurse Practitioner will perform Stress Tests, Pharmacological and Exercise testing , including Nuclear. The Nurse Practitioner will also assist with general patient care in Non-Invasive Cardiology. This is an autonomous role working alongside the Cardiologists. Principal Accountabilities: Provides new patient consultation and reviews health...