- HealthCare Support (Houston, TX)
- …discharge as well as new requests for members who have not had recent hospitalization. Review any requests for extension of these services and if not meeting ... Utilization Review RN HealthCare Support is actively seeking a...telephonic and faxed clinical information to authorize medically necessary inpatient and outpatient care, utilizing nationally recognized evidenced based… more
- HCA Healthcare (Aventura, FL)
- …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Authorization Review Services SpecialistWork from ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking an Inpatient Authorization Review Services… more
- HCA Healthcare (San Antonio, TX)
- …UT, VA). Do you want to join an organization that invests in you as an Inpatient Authorization Review Services Registered Nurse or Licensed Practical ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Inpatient Authorization Review Services… more
- HCA Healthcare (Las Vegas, NV)
- …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Authorization Review Services - Registered Nurse or ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking a Inpatient Authorization Review Services… more
- Molina Healthcare (Orlando, FL)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Dallas, TX)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... Excel, Teams, and One Note. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services … more
- Actalent (Portland, OR)
- …Clinical Review Nurse will conduct medical necessity reviews for prior authorization and inpatient service requests, ensuring compliance with Medicaid ... or LPN license + Minimum 2 years of prior authorization or inpatient review experience...Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance… more
- Molina Healthcare (San Francisco, CA)
- …least 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent ... hours permanently** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that … more
- Molina Healthcare (Cleveland, OH)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that … more
- Molina Healthcare (WA)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Cedar Rapids, IA)
- …least 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (NM)
- …health Previous experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care; Acute ... Hours .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying… more
- Dana-Farber Cancer Institute (Boston, MA)
- …schedule: 2 weeks remote and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from the Access ... for inpatient admissions, and denial management. In addition, the Inpatient Authorization Specialist is responsible for the timely and accurate… more
- Molina Healthcare (Davenport, IA)
- …in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review , discharge planning, case management ... policies and procedures that guide and support the provision of medical staff services . Maintains a working knowledge of applicable national, state and local laws… more
- Cedars-Sinai (Beverly Hills, CA)
- …SNF's for continued review and follow up. + Authorize all appropriate services based upon covered benefits and necessity of care provided. + Coordinate discharge ... + 3 years of previous experience in case management, discharge planning, utilization review , and HMO in the acute inpatient or outpatient settings preferred… more
- Cedars-Sinai (Beverly Hills, CA)
- …assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and ... for continued review and follow up. + Authorizes all appropriate services based upon covered benefits and necessity of care provided. + Coordinates discharge… more
- Bozeman Health (Bozeman, MT)
- …patients and participation as a member of the nursing care team in direct services to patients. The Tele-Companion is responsible for the safety of a patient ... may also include but are not limited to performance of chart review , pre-visit planning, patient intake, production and management of schedule tracking and… more
- MD Anderson Cancer Center (Houston, TX)
- …6 weeks)** * *The ideal candidate with have prior Oncology and/or inpatient experience. Leukemia, Lymphoma, or Stem Cell experience preferred.* *KEY FUNCTIONS* ... resources. Facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care. This may involve sitting at… more
- Select Medical (Scottsdale, AZ)
- …insurance verification? Read more to unlock your future career!_** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care ... joint-venture partnership between Select Medical and HonorHealth. This hospital provides inpatient physical rehabilitation for patients who are medically complex and… more
- Select Medical (West Orange, NJ)
- …insurance verification? Read more to unlock your future career!_** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care ... direction of the Director of Business Development - providing support, customer service and timely resolution of all aspects for admissions and seeking assistance… more
