Remote Authorization And Appeals Nurse Pacific Time Zone

Kindred Healthcare Las Vegas , NV 89134

Posted 4 months ago

Kindred Transitional Care Hospitals has a career opportunity for you! As a division of Kindred Healthcare, we play a vital role in the recovery process for chronic, critically ill and medically complex patients who require acute care and rehabilitation over an extended period.

Your career growth begins when you join an interdisciplinary team, where doctors, nurses, therapists and other experts work together to form individualized care plans for our patients and residents. Opportunities through our development programs, training seminars and university partnerships, not only allow for continual career growth but emphasize our commitment to investing in our employees and developing future healthcare leaders.

The goal of our team is to deliver intensive, multidisciplinary care and transition patients' home or to a lower level of care as quickly and safely as possible. Each employee's dedication is essential to meet and exceed the needs of each patient, resident and family we serve. Ranked as one of Fortune magazine's 'Most Admired Healthcare Company' for 8 years, Kindred welcomes you to join our team and build a career that touches lives.

As an Authorization & Appeals Management Nurse you will:

  • Combine strong relationship building skills and clinical knowledge to manage the Authorization and Appeals Management process.

  • Responsible for investigating and processing appeal requests and authorizations.

  • Primary duties include review of prospective, retrospective or concurrent medical records of denied services for medical necessity, as well as processing authorizations.

  • Serves as a liaison with marketing, business office and administration of the facilities.

  • Coordinates the managed care determinations and distributes information to the marketing and admissions support staff across multiple markets.

  • Identifies information needed from the referring hospital to finalize the authorization.

authorization & appeals management nurse, appeals management nurse, appeals management, appeals coordinator, authorization, appeals, managed care, pre-admission authorizations, patient medical insurance, medical insurance, healthcare management, healthcare, hospitals, long term acute care, transitional care hospitals, acute care, registered nurse, RN, R.N., nurse, nurse jobs, RN jobs, Registered Nurse jobs, nursing, hospital nurse, hospital RN, hospital Registered Nurse, LPN, licensed practical nurse, respiratory therapist, RT, physical therapist, PT, occupational therapist, OT, social worker, therapist

As an Authorization & Appeals Management Nurse you will have:

  • Bachelor's degree in clinical area strongly preferred.

  • Healthcare professional licensure required as Registered Nurse, LPN, Respiratory Therapist, Physical Therapist, Occupational Therapist or Social Worker.

  • Three years healthcare experience.

  • Proven history of effective relationship management in a matrix reporting structure.

If you are a current Kindred/RehabCare employee Click Here.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
PTH Youth And Family Assistant (2019)

Clark County, Nevada

Posted 6 days ago

VIEW JOBS 7/12/2019 12:00:00 AM 2019-10-10T00:00 ABOUT THE POSITION The Youth and Family Assistant performs a variety of duties including, providing the safety and security of children and the cottages, daily supervision of abused, neglected, abandoned and medically fragile children, housekeeping, custodial duties in cottages, transport and accompany children/families to appointments for DFS. Perform office duties such as faxing documents, making copies, maintain files, scanning, knowledge of Microsoft Word, Excel and Outlook. Clark County Department of Family Services is accepting applications for a Part Time Youth and Family Assistant. Clark County Department of Family Services (DFS) is the local public agency whose role is to help keep children safe. The agency was formed in July 2002 in response to the merger of state and county child welfare services. Mission Statement Protecting children from abuse and neglect by partnering with our community to build safe, nurturing and stable families, to support family preservation when possible, to provide permanent families for those children who cannot safely return home and to ensure the well-being of children in our care. THESE POSITIONS MAY BE GRANT FUNDED. GRANT FUNDED POSITIONS ARE SUBJECT TO CONTINUATION BASED ON AVAILABILITY OF GRANT FUNDS AND THE EMPLOYEE WILL BE TERMINATED WITHOUT RIGHT OF APPEAL WHEN SUCH FUNDS ARE NO LONGER AVAILABLE. Please Note: Part-time employment will not lead to permanent employment. Part-time hourly employees are used to fill positions normally less than twenty (20) hours per week. Part-time employees do not receive benefits. MINIMUM REQUIREMENTS Education and Experience: Equivalent to graduation from high school and 1 (one) year of full time experience working with and caring for juveniles, preferably in a recreational, treatment, or other nurturing setting. Licensing and Certification: Must possess a valid Nevada Class C driver's license at the time of appointment. Background Investigation: Employment is contingent upon the results of a background investigation. Must not have any qualifying offense that violates the standards required by NRS 43B.198 and/or NRS 432B.199. As indicated in NRS 432A.1773, any person hired to work in a licensed child care facility, who is responsible for the daily operations, administration or management of the child care facility must be at least 21 years of age. Pre-Employment Drug Testing: Employment is contingent upon the results of a pre-employment drug examination. Working Conditions: Work shifts may include day, swing shift, and weekends (including Holidays). EXAMPLES OF DUTIES Child Haven: * Responsibilities include supervision of daily living activities, ensuring the safety and security of the children and the cottages, providing physical care and emotional nurturing to the children and performing light housekeeping duties. * Provides on-going physical care, emotional nurturing and daily supervision of abused, neglected, abandoned and medically fragile children, ages three days to eighteen years. * Performs various functions relating to the admission and /or discharge of children. * Awakens children at appropriate times for bathroom use and school, ensuring appropriate hygiene, attire and nutrition. Feeds, bathes, dresses and comforts children. * Conducts and records bed checks, which include observing and touching children to ensure they are breathing. * Ensures the safety and security of the children and cottages; responds to emergency calls from other cottages. * Intervenes when children are out of control, using authorized strategies and restraint techniques. Provides infant care including medically fragile children. * Performs a variety of housekeeping and custodial duties in the cottage, such as laundering clothing and bedding, dusting furniture, sweeping and mopping floors, cleaning and disinfecting the bathroom and cleaning the kitchen. * Maintains various records of work performed, completes incident and other reports and performs other clerical support activities. May transport and accompany children/families to appointments (medical, therapy, community resources, visitation, to Peggy's Attic for clothing, etc). * May schedule/coordinate medical and other appointments (contacting multiple doctors to schedule appointments for follow-up. May provide resources to families (delivering diapers, bus tokens, clothing, etc.) to families. May accompany children to SCAN examinations at medical facility. * May pick up medical records (records, x-ray discs, etc) and police reports. May request from DFS fiscal, ordering, picking up and delivering essential items purchased to support safety in plan (e.g. cribs, car seats, etc). Medical Case Management: * Transporting children with possible behavioral and/or physical challenges. * Computer knowledge in (Microsoft Word, Excel, Outlook). * Ability to use office equipment such as scanner, printer, copier and telephone. * Maintain office files, electronic files, fax documents, making copies, and perform basic office duties. PHYSICAL DEMANDS Mobility to work in a treatment shelter home and office setting, use standard home appliances and office equipment, and to drive a motor vehicle in order to transport children; strength to lift, carry and restrain children; vision to read printed materials; and hearing and speech to communicate in person or over the telephone. Accommodation may be made for some of these physical demands for otherwise qualified individuals who require and request such accommodation. Clark County, Nevada Las Vegas NV

Remote Authorization And Appeals Nurse Pacific Time Zone

Kindred Healthcare