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

GOALS for Autism, Inc.

Behavior Technician - Carson City Job at GOALS for Autism, Inc.

 ...Want to make a difference? GOALS for Autism, Inc. is hiring Behavior Technicians to implement behavior modification programs (Applied Behavior Analysis) in home and community settings to teach clients new skills for life. GOALS for Autism, Inc. is devoted to... 

Strider

Project Manager Job at Strider

We are seeking a well-qualified Project Manager to join our growing team. Job duties for this position include field management, estimating...  ...controls, subcontractor and supplier coordination and contract administration. You will work directly with owners, consultants... 

EMS Management & Consultants, Inc.

Instructional Designer Job at EMS Management & Consultants, Inc.

 ...Description Job Summary The Instructional Designer is responsible for designing, developing, and evaluating engaging learning experiences...  ...setting with minimal exposure to adverse conditions. Noise levels in the office are typically moderate and consistent with a... 

Johns Hopkins University

Grants & Contracts Manager Job at Johns Hopkins University

 ...to ensure alignment and minimize cost transfers. Ensure analysts complete all monthly account reconciliations and fully complete NEXUS risk/opportunity reports for each award, including PI certification and documentation of key risks. Require that analysts review... 

Transperfect Connect

TransPerfect - Estonian Interpreter (Telephonic / OPI Independent Contractor) position Job at Transperfect Connect

TransPerfect Connect is looking for Estonian - English Bilingual/ Experienced interpreters to work remotely from home as an independent Contractor. The perfect interpreter aspires to be a fantastic advocate for our end clients, utilizing their talents to deliver superior...