Remote Clinical Case Manager & Authorization Coordinator (HMO Case Manager) – LPN/LVN, RN

Job Overview

  • Clinical License LPN, RN
  • State(s) Nationwide

Full job description

Absolute Authorizations LLC is looking to hire an experienced healthcare clinician for our Clinical Case Manager & Authorization Coordinator position. This is a fully remote position.

MANDATORY EXPERIENCE:

– Experience working at/with a Skilled Nursing Facility

– Working knowledge or familiarity reading clinical notes

– Obtaining Authorizations for Skilled Nursing Facility care

Case Manager responsibilities include:

  • Obtain, track and manage authorizations for HMO patients in a Skilled Nursing Facility.
  • Coordinate & streamline communication between Admissions, Social Work, Rehab and Billing departments.
  • Review patient medical records, care plan and discharge plan.
  • Coordinate with insurance case manager, discuss patient care plan, progress and discharge plan, & advocate for patient care
  • Compile appeal packages.

Requirements and Qualifications:

  • Knowledge in Medicare guidelines, Medicare HMO, Medicaid HMO, Commercial Insurance, HARP, AARP, Obamacare, No Fault and Workers Comp programs, policies, procedures and processes.
  • Experience in a Skilled Nursing Facility setting (admissions, business office, social services, Nursing etc.)
  • Valid medical license and clinical experience
  • Excellent verbal and written communication skills with comfort on phone
  • Organizational skills
  • Microsoft excel/microsoft word

Work Remotely

  • Yes

Job Type: Full-time

Pay: $52,000.00 – $62,000.00 per year

Benefits:

  • Health insurance
  • Paid time off

Schedule:

  • Monday to Friday

Application Question(s):

  • Please acknowledge with a “Yes” that you understand the starting salary for this position is $52,000-62,000 annually. No comment here will result in an immediate rejection of your application.

Experience:

  • Case management: 1 year (Required)

License/Certification:

  • Medical License (LPN, OTA, RN, etc) (Required)

Work Location: Remote

 

 

 

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