Prior Authorization Nurse Home Healthcare LPN/RN Job at Caring Hearts Homecare, Wilmington, MA

RGxpd0lMY0MwT2xtK3BUMVM4WWxHVjlwUnc9PQ==
  • Caring Hearts Homecare
  • Wilmington, MA

Job Description

About the Job:

Prior Authorization Nurse Home health.

About the Job:
Caring Hearts Homecare is looking to hire a part-time nurse (LPN/RN) as a Prior Authorization Specialist, someone who is self-driven, responsible, organized, and pays attention to details.

Qualifications:

  • Must be a nurse (LPN/RN).
  • Must have home care experience as an LPN/RN.
  • Have experience in Prior Authorization submission processes.
  • Ability to work independently and manage time effectively as an LPN/RN.
  • Good computer skills.


Responsibilities include:

  • Assist in the completion of Prior Authorization document requests as an LPN/RN.
  • Review Prior Authorization documents for completion and accuracy as an LPN/RN.
  • Submit Prior Authorization requests to appropriate insurance companies for approval as an LPN/RN.
  • Track submitted PA requests.
  • Audit to ensure PAs are in place for all patients as an LPN/RN.
  • In charge of PA appeals and follow-up on any additional requests for documents needed for PA approval as an LPN/RN.
  • Manage and maintain tracking PA tool as an LPN/RN.
  • Performs other duties as assigned.


Benefits include:

  • Competitive Pay.


About Caring Hearts Homecare:

Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. At Caring Hearts Homecare, we take a team approach in caring for our clients. By working with clients, families and physicians, our experienced and well trained team of clinicians are able to provide customized and individualized high quality care that meet specific needs of each of our clients.

About Caring Hearts Homecare:

Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. At Caring Hearts Homecare, we take a team approach in caring for our clients. By working with clients, families and physicians, our experienced and well trained team of clinicians are able to provide customized and individualized high quality care that meet specific needs of each of our clients.

Job Tags

Full time, Part time,

Similar Jobs

Smile Partners

Dental Office Manager Job at Smile Partners

 ...Station Dental Castle Rock | Dental Office Manager We are seeking a Dental Office Manager to join the team and lead the current office. The ideal candidate will be a strong leader with knowledge to grow and develop our existing team professionally. Job Duties may... 

FedEx

Material Handler - Part Time (Warehouse like) Job at FedEx

 ...basic and re-currency training. The ability to communicate both timely and effectively, in a noisy operations environment, is required....  ...application or hiring process should contact recruitmentsupport@fedex.com . Applicants have rights under Federal Employment Laws:... 

UT Health Austin

Chief Development Officer, College of Pharmacy Job at UT Health Austin

 ...Chief Development Officer, College of Pharmacy The University of Texas at Austin provides...  ..., students, programs, and centers. Recently reappointed for a second term, Dean...  ...pharmacy education by equipping Pharm.D. and graduate students with skills to solve complex... 

California State University, Fresno

Information Systems and Decisions Sciences Assistant Professor Job at California State University, Fresno

 ...Information Systems and Decisions Sciences Assistant Professor Job No: 551845 Work Type: Instructional Faculty - Tenured/Tenure-Track Location...  ...of Teaching. Qualifications: Required Education: # An earned doctorate (Ph.D. or DBA) in Business... 

Diesel Direct Inc

Diesel Truck Mechanic - E. Providence, RI Job at Diesel Direct Inc

 ...Job Description Job Description Job description Diesel Direct is currently seeking a full-time Diesel Truck Mechanic for our East Providence, RI location. Duties include working on fleet delivery vehicles and customers. Maintains diesel equipment operation by...