• Authorization and Referrals

    Beth Israel Lahey Health (Beverly, MA)
    authorization processes. **Job Description:** **Essential Responsibilities:** Verifies patient's insurance eligibility for visit, using various online tools and ... in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback to departments on medical… more
    Beth Israel Lahey Health (04/11/24)
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  • Patient Access Insurance

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for ... of other front-end processes, including scheduling, pre-registration, financial counseling, insurance authorization , medical necessity, and registration. +… more
    Jennie Stuart Medical Center, Inc. (04/18/24)
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  • Revenue Cycle Authorization Manager

    Gentiva (Mooresville, NC)
    …difference in people's lives every day. **Overview** We're looking for **Revenue Cycle Authorization Manager ** to join our team. The Revenue Cycle ... for leading and planning for a 15+ person team, ensuring eligibility and authorization for all referrals are done timely and correctly. Also responsible… more
    Gentiva (03/21/24)
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  • Pre-Service Authorization Specialist

    Trinity Health (South Bend, IN)
    …the Delay/Deny Daily Log. Communicate with physician offices and patients when insurance payer denies authorization . If patient/physician decision is to continue ... time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/pre-certify all patients… more
    Trinity Health (04/13/24)
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  • Behavioral Authorization Team, Care…

    The Cigna Group (Bloomfield, CT)
    …Health and Care Allies + Validate HIPAA, verify eligibility & benefits, provide referrals , and complete authorization and handoff processes. + Utilize workflows ... for authorization and coordinate between the caller and Care Manager /Care Management Teams. + Research complicated cases, ie eligibility, escalated cases, etc.… more
    The Cigna Group (04/23/24)
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  • Benefits and Authorization Specialist

    Option Care Health (Tallahassee, FL)
    …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected ... and quality **Job Description:** ​ **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. +… more
    Option Care Health (04/24/24)
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  • Managed Care Coordinator - Referrals

    Beth Israel Lahey Health (Plymouth, MA)
    …Under the direction of the Sr. Managed Care Coordinator and Surgery 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
    Beth Israel Lahey Health (03/24/24)
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  • Patient Authorization and Referral…

    Kadlec (Richland, WA)
    **Description** Under the general direction of the Practice Administrator/ Manager , executes patient insurance referrals , consultations, and diagnostic ... in a hospital or physician office with a background in medical terminology, Insurance , CPT codes, or ICD-9 codes. **Why Join Providence?** Our best-in-class benefits… more
    Kadlec (04/24/24)
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  • Registered Nurse-Utilization Manager

    EM Key Solutions, Inc. (Eglin AFB, FL)
    …appointed and closed out. + Ensures Line of Duty paperwork is on file prior to authorization for all reserve and guard member referrals . + Keeps abreast of MTF ... Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization… more
    EM Key Solutions, Inc. (02/14/24)
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  • Registered Nurse (RN)-Utilization Manager

    EM Key Solutions, Inc. (Eglin AFB, FL)
    …appointed and closed out. + Ensures Line of Duty paperwork is on file prior to authorization for all reserve and guard member referrals . + Keeps abreast of MTF ... Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager Location: Eglin Hospital at Eglin AFB, Fort Walton Beach, FL. Position Type- Onsite EM… more
    EM Key Solutions, Inc. (02/14/24)
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  • Referral & Prior Auth Rep III

    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
    University of Rochester (04/12/24)
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  • Referral & Prior Auth Rep III

    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
    University of Rochester (03/01/24)
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  • RN Case Manager I - Case Management - Sharp…

    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 ... Time** Master's Degree; Bachelor's Degree in Nursing; 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
    Sharp HealthCare (04/21/24)
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  • Case Manager - Transition Planning - Sharp…

    Sharp HealthCare (San Diego, CA)
    …of services.The RN CM will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion ... 0 **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 will make… more
    Sharp HealthCare (04/11/24)
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  • Sharp Rees Stealy - Case Manager II…

    Sharp HealthCare (San Diego, CA)
    …SRS RN CM II will document and initiate discharge plan including early referrals and authorization for SNF, Rehab, homecare, DME and infusion services.The ... (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ...planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe SRS RN CM II… more
    Sharp HealthCare (02/29/24)
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  • RN Care Manager Outpatient

    Billings Clinic (Cody, WY)
    …admissions using established criteria for specific payer populations * Understands insurance /payer policy language, benefits and authorization requirements for ... starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN Care Manager Outpatient - Cody OUTPATIENT CARE MANAGEMENT (BILLINGS CLINIC… more
    Billings Clinic (03/22/24)
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  • Program Manager - Star Program

    Universal Health Services (Shreveport, LA)
    Responsibilities Brentwood Hospital is looking for a dynamic Program Manager for the Star Program for Uniformed Services at Brentwood Hospital! The Program ... Manager is a member of the Hospital's social service...the care of the Star Program for Uniformed Services referrals admitted for inpatient treatment. Additionally, this role provides… more
    Universal Health Services (03/29/24)
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  • Residential Program Care Manager

    Vibrant Emotional Health (New York, NY)
    …of care and the Residential Treatment Facilities Authorization Process. The RTF Authorization Team reviews over 300 referrals a year and is currently ... Position Title: Residential Program Care Manager Department: Office of Mental Health/ Children's Team...NYC Office of Mental Health (OMH). Duties/Responsibilities: + RTF Authorization Process Assistance + Oversight of NYC OMH residential… more
    Vibrant Emotional Health (04/24/24)
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  • Human Resource Manager

    Parker Hannifin Corporation (Glendale, AZ)
    Human Resource Manager Location : GLENDALE, AZ, United States Job Family : Human Resources Job Type : Regular Posted : Apr 24, 2024 Job ID : 46540 Back to Search ... Job Description Apply Now > Save JobJob Saved JOB TITLE:SITE HUMAN RESOURCES MANAGER Location:Parker Aerospace Group - Gas Turbine Fuel System Division - Glendale,… more
    Parker Hannifin Corporation (02/24/24)
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  • Shelter Manager

    Community Housing Innovations (Middle Island, NY)
    Shelter Manager Job Details Job Location CHI- Koren Lane - Middle Island, NY Position Type Full Time Description WHO IS CHI? Community Housing Innovations (CHI) is a ... off + 2 personal days awarded annually + Health insurance and health reimbursement account + Dental and vision...BE DOING? CHI is looking for a full-time Shelter Manager for our Farmingville location. You will be responsible… more
    Community Housing Innovations (03/19/24)
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