Pre-Authorization Nurse Job at MJHS (New York)

Medical Administrative Assistant

A leading Healthcare Sub-Acute Care Center is seeking a diligent and highly orga...

Location

United States , San Pedro

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in authorizations and insurance verification within a Skilled Nursing Facility (SNF) or a sub-acute care center
Proficiency with MS Office and medical record software
Strong organizational, multi-tasking, and time-management skills with keen attention to detail
Effective verbal and written communication skills
Ability to handle confidential information and sensitive situations with integrity
Working knowledge of HIPAA regulations and basic medical terminology

Job Responsibility

Oversee daily administrative functions to facilitate efficient facility operations
Coordinate with patients, healthcare providers, and insurance companies to obtain treatment authorizations
Verify insurance coverage, including benefit validation and eligibility checks, and perform accurate patient data entry
Process referrals, pre-authorizations, and pre-certifications for all patient cases
Act as the first point of contact, answering phones, scheduling appointments, filing paperwork, and assisting patients and staff with inquiries
Communicate professionally and courteously with patients, families, physicians, facility staff, and external partners
Maintain strict compliance with HIPAA and patient confidentiality standards
Support other general administrative tasks and adapt to rapidly changing priorities

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Medical Administrative Assistant

A leading Healthcare Sub-Acute Care Center is seeking a diligent and highly orga...

Location

United States , San Pedro

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in authorizations and insurance verification within a Skilled Nursing Facility (SNF) or a sub-acute care center is encouraged
Proficiency with MS Office and medical record software is essential
Strong organizational, multi-tasking, and time-management skills with keen attention to detail
Effective verbal and written communication skills
Ability to handle confidential information and sensitive situations with integrity
Working knowledge of HIPAA regulations and basic medical terminology

Job Responsibility

Oversee daily administrative functions to facilitate efficient facility operations
Coordinate with patients, healthcare providers, and insurance companies to obtain treatment authorizations
Verify insurance coverage, including benefit validation and eligibility checks, and perform accurate patient data entry
Process referrals, pre-authorizations, and pre-certifications for all patient cases
Act as the first point of contact, answering phones, scheduling appointments, filing paperwork, and assisting patients and staff with inquiries
Communicate professionally and courteously with patients, families, physicians, facility staff, and external partners
Maintain strict compliance with HIPAA and patient confidentiality standards
Support other general administrative tasks and adapt to rapidly changing priorities

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Pre-Authorization RN

The challenges of affordable healthcare continue to create new opportunities. El...

Location

United States , New York

Salary:

90000.00 - 110000.00 USD / Year

MJHS

Expiration Date

Until further notice

Requirements

Graduate of an accredited nursing program, Bachelor’s preferred
Knowledge with Utilization management processes preferred
Current NY RN license and registration required
CCM preferred
Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice
Prior experience in an interdisciplinary service delivery environment preferred
Working knowledge of Medicare and Medicaid regulations
Working knowledge of Windows, Word and Excel
Knowledge of current standards of medical practice and healthcare delivery systems
Strong assessment skills

Job Responsibility

Processes all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines
Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services
Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member
Ensures that the member’s Individualized Person-Centered Care Plan has been updated and accurately reflects present status of the member

What we offer

Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
And MORE
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Fulltime

Rn-prior authorization/referral procedure and insurance coordinator

RN, Prior Authorization/Referral/Procedure and Insurance Coordinator functions a...

Location

United States , Des Moines

Salary:

Not provided

IntelyCare

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of nursing or IA Board of Nursing approved nursing program
Current licensure in good standing to practice as a Registered Nurse in Iowa
Valid driver's license
Basic Life Support (BLS) ceritification or obtain certification within three months from date of hire
Mandatory Report Certification
Two (2) years of RN experience

Job Responsibility

Coordinates and develops ongoing patient care, including appointments, communication, and instruction
Function as a clinician, educator and resource for patients within their specialty of care
Assist provider and clinical staff with patient prep for examinations, treatments, and minor clinic procedures
Delivers high quality care utilizing the nursing process while demonstrating knowledge and clinical skills in accordance with established policies, procedures, and standards of care throughout the clinic and across the health care continuum
Maintain flexibility by demonstrating an ability and willingness to perform a variety of duties and accept changes or additions to assignments
Thoroughly understand testing (lab and procedures) values and relationship to patient status with accountability to take next steps, as appropriate to scope and licensure
Utilize critical thinking in making independent judgements and maintains responsibility and accountability for the knowledge of conditions of assigned patients
Builds and maintains positive working relationships with patients, physicians, and all others
Perform other duties as requested by Manager of Oncology Services to facilitate the smooth and effective operations of the hosp/clinics
Maintains knowledge of clinical protocols to facilitate timely and complete work up of patients

What we offer

paid time off
parental leave
401K matching
employee recognition program
Dental and health insurance
paid holidays
short and long-term disability
pet insurance
Early access to earned wages with Daily Pay
tuition reimbursement

Fulltime

Prn Admissions Counselor Saturday Overnight

We are seeking a clinical professional responsible for facilitating admissions, ...

Location

United States , Philadelphia

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred
One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred
Current licensure, as required for the area of clinical specialty, i.e., current RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility)
First aid may be required based on state or facility

Job Responsibility

Respond to inquiries about the facility within facility policy timeframes
Ability to develop therapeutic relationships with patients and families
Perform benefit eligibility to ensure patient benefits are active at the time of admission
Communicate benefit eligibility to the business office and the patient or significant other
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals
Coordinate admission and transfer from referral sources and between levels of care within the facility
Maintain knowledge of milieu management
Communicate projected admissions to designated internal representatives promptly
Ensure all clinical information from referral sources or patient (including medical comorbidity information) is received, when possible, prior to patient admission
Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician, and communicate disposition recommendations to patient or their family

Parttime

Client Partner for Clinical Review

Give your career a boost by joining us a Client Partner - Clinical Review for Pr...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Ability to type at least 30 WPM
Possess basic computer knowledge
Good verbal and written communication skills
Willing to work in the night shift at our office in McKinley Hill, Taguig
Available to join immediately for full time position
Candidate must possess a Bachelor’s degree in any medical allied courses such as Nursing, Radiology, Pharmacy, Nutrition and Dietetics, Psychology, Medical Transcription, Biology, Chemistry, Medical Technology, Physical Therapy or Midwifery
Experience in a BPO healthcare setting an advantage

Job Responsibility

Be thoroughly familiar with the day-to-day activities of the Pre-Authorization process
Show the zeal and drive to learn, take initiative in equipping one-self through induction & client-specific training
Secondary level training with test scores
Update continuously your knowledge related to your client by going through mails, Knowledge Management portal
Understand the workflow process that is taking place through our IT systems
Should focus and achieve on the set targets and cooperate with the respective team in achieving the set Turn around Timekeeping a high accuracy level
Treats all patient and client information as confidential
Follow processing and client-related protocols
Process transactions as specified by Team Leader/Assistant Manager
Follow Information Security Policy and Compliance requirements including regulatory compliances

Fulltime

Ambulatory Clinic LPN

The ambulatory clinic licensed practical nurse (LPN) utilizes the nursing proces...

Location

United States , Kansas City

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Licensed Practical Nurse Graduation from an accredited licensed practical nurse program
High School Graduate or GED
Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Licensed Practical Nurse (LPN) - Multi-State - State Board of Nursing in the state (Kansas and/or Missouri) dependent upon work location
Basic computer skills required
Excellent analytical, critical thinking and problem-solving skills

Job Responsibility

Greets patients and prepares them for examination or procedure
Recording health history of patient and noting abnormal conditions for physician
Obtains vital signs and performs required screens
Accurately and safely administers intramuscular, subcutaneous, and oral medication as ordered
Observes, records, and reports patients condition and reaction to drugs and treatments to physicians
Assists with the preparation of supplies and equipment and aiding the physician or advance practice provider during treatment, examination and testing of patients
Ensures patient chart entries are made accurately and in a timely manner
Assisting with scheduling of tests and treatments
Arranging referrals to a specialist and obtaining pre-authorizations when directed to by the provider
Collects, documents and delivers lab specimens

Fulltime

Ambulatory Clinic LPN

The ambulatory clinic licensed practical nurse (LPN) utilizes the nursing proces...

Location

United States , Kansas City

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Licensed Practical Nurse Graduation from an accredited licensed practical nurse program
High School Graduate or GED
Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA)
Licensed Practical Nurse (LPN) - Multi-State - State Board of Nursing in the state (Kansas and/or Missouri) dependent upon work location
Basic computer skills required
Excellent analytical, critical thinking and problem-solving skills

Job Responsibility

Greets patients and prepares them for examination or procedure
Recording health history of patient and noting abnormal conditions for physician
Obtains vital signs and performs required screens
Accurately and safely administers intramuscular, subcutaneous, and oral medication as ordered in accordance with nursing standards
Observes, records, and reports patients condition and reaction to drugs and treatments to physicians
Assists with the preparation of supplies and equipment and aiding the physician or advance practice provider during treatment, examination and testing of patients
Ensures patient chart entries are made accurately and in a timely manner and forwarding charts as appropriate
Assisting with scheduling of tests and treatments
Arranging referrals to a specialist and obtaining pre-authorizations when directed to by the provider
Collects, documents and delivers lab specimens

Parttime

Pre-Authorization Nurse

MJHS

Location:
United States , New York

Category:
Nursing

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 18, 2026

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