Prior Authorization Nurse (Hybrid) Job at Caring Hearts Homecare, Wilmington, MA

UGlCc3U1YUp0RjVLaDFML2hRRDZoTmtkSXc9PQ==
  • Caring Hearts Homecare
  • Wilmington, MA

Job Description

Prior Authorization Nurse LPN/RN.

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 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.

Job Tags

Part time,

Similar Jobs

Mutual of Omaha Mortgage

Salesforce Administrator Job at Mutual of Omaha Mortgage

 ...Salesforce Administrator Location: CA- Irvine / Hybrid Mutual of Omaha is a Fortune 300 Company. Mutual of Omaha Mortgage is inspired by hometown values and a commitment to being responsible and caring for each other. We exist for the benefit of our customers... 

Award Staffing

Maintenance Technician Job at Award Staffing

We are seeking a reliable and skilled Maintenance Technician to join our property management team. The primary function of this role is...  ...excellent condition. You will be responsible for performing routine building maintenance tasks and repairs pertaining to electrical,... 

Truescale Marketing

Home Based Office Assistant - Entry Level Job at Truescale Marketing

 ...Job Title: Home Based Office Assistant - Entry Level Location: Remote Job Type: Full-Time/Part-Time Available We are looking for a highly...  ...experience. Flexible Schedule : Enjoy the benefits of working remotely with flexible hours to support work-life balance.... 

Whole Foods Market 365

Cake Decorator, Pastry Chef - Part Time Job at Whole Foods Market 365

 ...A career at Whole Foods Market is more than just the work you do- it's about your personal growth and creating meaningful change. Our purpose is to nourish people and the planet. That means improving how people eat, funding grants for school gardens, providing access... 

Speedway

Retail Assistant Manager/Assistant Store Leader Job at Speedway

 ...with competitive pay. Speedway offers the best benefits in retail, including: ~ Weekly paychecks and paid holidays. ~ Paid...  ...training, and coaching, alongside the General Manager, for all store employees. Maintaining high retention by focusing on identifying...