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,

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