Find clinical, allied health, care team, and healthcare operations openings using one smart search field across cities, regions, and employers.
McFarland Clinic
Overview
Manage and prioritize prior authorization requests through various channels and monitor them until final determination. Coordinate with providers and insurance representatives to obtain clinical documentation and handle the appeals process for denials.
Quick view →
Compensation
Salary not listed
Posted
28 days ago
WakeMed Health & Hospitals
The Mental Health Case Manager supports patients and families by facilitating mental health and substance use care, including discharge planning and community resource navigation. They also manage insurance utilization reviews, conduct safety assessments, and represent the hospital in involuntary commitment hearings.
1 month ago
Boswell Transitional Care of Cascadia
Assists the Social Services department in day-to-day functions and works with residents and families to outline goals and plans for discharge. Helps residents and family members obtain necessary forms and services.
CHARLOTTE BEHAVIORAL HEALTH CARE INC
The specialist will identify patients, verify insurance coverage, and coordinate with nursing staff to ensure authorization for inpatient treatment services. They are also responsible for drafting insurance appeals, maintaining accurate clinical documentation, and reporting census data.
$17 - $19 / HOUR
One Brooklyn Health
The Registered Nurse manages the holistic care and education of diabetes patients, focusing on medication management, insurance authorization processes, and technical support for devices like CGMs and insulin pumps. This role involves extensive patient counseling on disease fundamentals, nutrition, exercise, and collaborating closely with the entire diabetes care team, including endocrinologists and nurse practitioners.
2 months ago
Life Enriching Communities
The Clinical Care Coordinator is responsible for conducting assessments, supporting documentation, and developing social care plans aimed at restoring residents to their optimum level. This role also involves supporting residents and families with internal and community resources, particularly concerning Medicare and Medicaid.
BASS MEDICAL GROUP
This role involves performing administrative and clinical support tasks in an OB-GYN setting, including rooming patients, obtaining vitals, assisting providers during examinations, and managing lab results and prior authorizations. The assistant will also coordinate patient care needs, provide referrals, educate patients, and maintain accurate documentation in the EMR system.
$21 / HOUR
3 months ago
DAYMARK RECOVERY SERVICES INC
The Utilization Review Coordinator initiates pre-certification calls for insurance plans and conducts concurrent reviews during patient stays. They also manage the insurance appeal process and communicate treatment team recommendations.
$18 - $23 / HOUR
4 months ago
