- Saratoga Hospital (Saratoga Springs, NY)
- …team within Patient Engagement Center (PEC), under the direct supervision of the Manager . The Referral and Authorization Specialist (RAS) is responsible for ... Supervisor, Referral and Authorization Salary Range: $20.52-$33.70/hr based on experience and...scheduling and routing referrals , validating medical necessity, and obtaining insurance … more
- Beth Israel Lahey Health (Plymouth, MA)
- …Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process managed care insurance referral requests for patients ... staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's, BIDMC's and BIDPO's contractual rules and… more
- Hartford HealthCare (Manchester, CT)
- …of 300,000 people in 19 towns. *POSITION SUMMARY:* This position reports to the Manager , Central Authorization Center and works directly with FCC, ASC scheduling ... care authorizations; follows up to obtain missing patient and/or insurance pre- authorization data as required. Researches and... is accurate on the patient's account. 9. Assures insurance information and appropriate referrals have been… more
- Option Care Health (Sacramento, CA)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... Summary:** This position is responsible for processing benefit verifications or authorization responsibilities of all new referrals within the expected… more
- UNC Health Care (Goldsboro, NC)
- …electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4. Update the referral ... **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from … more
- Sharp HealthCare (San Diego, CA)
- …of services.The RN CM II will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion ... Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing;… more
- Sharp HealthCare (San Diego, CA)
- …of services.The RN CM I will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion ... 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM I will… more
- Mount Sinai Health System (New York, NY)
- …authorization . 11. Leverages and optimizes Allscript platform to ensure timely referrals , authorization , and patient transfers. 12. Responsible to maintain ... **Job Description** **Program Manager , Discharge Planning-HSO Skilled Nursing Facility Transfers -Full...Insurance : clarify covered benefits, contact providers and obtain authorization numbers for insurance companies for post-acute… more
- University of Southern California (Los Angeles, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care...patients' case management plans and on-going activities; Identifying patients ' insurance coverage or other sources of payment for services;… more
- Arkansas Children's (Little Rock, AR)
- …expert - efficient in scheduling, admission, registration , financial counseling, insurance requirements , eligibility and authorization process . Staffs ... expert - efficient in scheduling, admission, registration , financial counseling, insurance requirements , eligibility and authorization process . Staffs… more
- HCA Healthcare (Salt Lake City, UT)
- …SW-MSW also perform utilization review functions, including conducting InterQual reviews and obtaining insurance authorization . What you will do in this role: + ... We care like family! Jump-start your career as a(an) Social Worker Case Manager today with St. Mark's Hospital. **Benefits** St. Mark's Hospital offers a total… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a ... of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager of Care Management. The… more
- Monroe Plan for Medical Care (Rochester, NY)
- Care Manager II - Health Home Summary Title:Care Manager II - Health Home ID:HH224 (Rochester) Location:Rochester Job Type:Full-time Date Posted:01/08/2026 ... of individuals and families who are recipients of government sponsored health insurance . Monroe Plan is the largest Care Management Agencies serving 28 counties… more
- The Salvation Army (Philadelphia, PA)
- …documenting eligibility information for case management clients and submitting requests for new authorization numbers to Program Manager and as needed to CBH. + ... Overview Position: Anti-Trafficking Case Manager Department: Philadelphia Social Service Ministries; New Day Drop In Center; Work Location: Philadelphia County… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Case Manager (Long Term Care Sub-Acute) - St. Peter's Nursing and Rehabilitation Center** ... St. Peter's Nursing and Rehab Center is looking for an RN Case Manager to join their team! **Schedule:** Weekday, Day-Time Schedule Monday through Friday No… more
- BrightSpring Health Services (Colorado Springs, CO)
- …coverage and financial obligations + Ensures that processes are followed to ensure insurance verification is completed and authorization is in place prior to ... Our Company Amerita Overview The Access Manager monitors all activities and information related to...activities and information related to the processing of new referrals and ongoing coordination of patient customer service. This… more
- Community Housing Innovations (Commack, NY)
- …off + 2 personal days awarded annually (effective Jan 1, 2023) + Health insurance and health reimbursement account + Dental and vision plans + Flexible spending ... account + AFLAC supplemental insurance + Voluntary plans + Dependent Care Spending Account...DOING? CHI is looking for a full-time Traveling Case Manager for all of our Suffolk County locations. You… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short… more
- University of Rochester (Rochester, NY)
- …requested by patient. Participates as an active member of the care team. Acquire insurance authorization for the visit and, if applicable, any testing; ... and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided...insurance authorization information will be entered in… more
- Williams Adley (Washington, DC)
- …in order to fulfill client expectations and deliverables. + Reports To: Senior Manager /Partner + Authorization : US Citizenship is required + Clearance: Must have ... our team regarding this or any other posting. Unsolicited referrals or resumes will not be considered, and no...or contact a recruitment team member. The Opportunity: The Manager is responsible for supporting the planning and execution… more