RN Case Manager Prior Authorizations

healthcaresupportstaffing1
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📍 FL📍 Sunrise📍 Sunrise, FL, United States📍 us

About this role

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Will be requesting prior authorization of durable medical equipment for members.

100% Telephonic

Requests for prior authorization of DME

Review provider requests through fax or telephone to ensure medical necessity for services requiring pre-authorization

Utilize nationally recognized criteria to determine medical necessity of services requested

Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria

Data enters authorizations into the system

Qualifications

RN

At least 1 years of DME experience * Preferred

At least 2 years of UM experience, must have atleast one year of authorization experience

Plus to have CCR

Experience utilizing medical management software programs. Interqual/Miilman

UM certification preferred.

Managed Care preferred not required

Look for people who come from any type of DME facility, pharmacy...

Will send from from large providers office is have over two years of Prior Auths. 

Additional Information

-Salary range 60K-72K

-Excellent opportunity to begin a career with one of Florida's leading health plans with excellent benefits

Frequently Asked Questions

Is the salary disclosed for the RN Case Manager Prior Authorizations position at healthcaresupportstaffing1?
The salary for this RN Case Manager Prior Authorizations role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the RN Case Manager Prior Authorizations position at healthcaresupportstaffing1 located?
This RN Case Manager Prior Authorizations role at healthcaresupportstaffing1 is based in FL, Sunrise, Sunrise, FL, United States, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
How do I apply for the RN Case Manager Prior Authorizations position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the RN Case Manager Prior Authorizations job at healthcaresupportstaffing1 posted?
This RN Case Manager Prior Authorizations position at healthcaresupportstaffing1 was posted on Jul 17, 2015. Apply as soon as possible — early applications are often reviewed first.
RN Case Manager Prior Authorizations
healthcaresupportstaffing1
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