Clinical Authorization Specialist
6 days ago
About the Role:
">The Clinical Authorization Specialist acts as a patient advocate, working closely with hospital-based R.N. Care Managers and multi-disciplinary staff to research and provide timely clinical reviews on complex cases.
">Key Responsibilities:
">- Conduct thorough assessments of patient cases to ensure accurate and timely clinical review
- Collaborate with R.N. Care Managers and other staff members to secure approval for inpatient admissions from payors
- Utilize nationally recognized criteria to appeal denials and resolve issues
- Interact with outside agencies, third party payors, and managed care companies according to contractual agreements
Requirements:
">To be successful in this role, you will need
">- Five years of clinical experience in medical surgical or critical care nursing
- A diploma in Nursing
- Registration as a Registered Nurse (KY)
Estimated Salary:
">$80,000 - $110,000 per year, depending on location and experience
">About Norton Healthcare:
">Norton Healthcare is a leading healthcare provider in Louisville, Kentucky, dedicated to delivering high-quality patient care and improving community health.
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Healthcare Authorization Specialist
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Louisville, Kentucky, United States Norton Healthcare Full timeAbout This OpportunityNorton Healthcare is seeking a motivated and detail-oriented Healthcare Authorization Specialist to join our team. In this role, you will be responsible for ensuring that all necessary insurance approvals are in place for patients receiving care at our facilities.This is an excellent opportunity to grow your career in a dynamic and...
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Clinical Pharmacy Specialist
1 day ago
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Louisville, Kentucky, United States Norton Healthcare Full timeNorton Healthcare is a leading healthcare provider in the region, serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. As a Senior Clinical Engineering Specialist, you will be an integral part of our team, responsible for the repair, calibration, and maintenance of specialized...
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Quality Improvement Specialist
2 weeks ago
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