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Managed Care Authorization Specialist/SNF Case Management

Greystone Health

This is a Full-time position in Boulder, CO posted August 1, 2022.

AbleHearts Consulting Services is an organization of passionate individuals committed to attracting, retaining and developing top talent to enhance our team.

We are an organization dedicated to a customer service and care experience that exceeds expectations and provides a higher standard of excellence.

With great people and a high energy, family oriented culture, this is a fantastic opportunity to join the AbleHearts Consulting Services Team and make your mark Managed Care Authorization Specialist/SNF Case Management Home-based position in Illinois; potentially 20% travel required annually LPN license a plus Advanced Financial and Consulting Services has an exciting opportunity for a Managed Care Authorization Specialist.

This role will: Oversee all aspects of obtaining Managed B Therapy authorizations including required documentation, maintaining Therapy Tracking Logs and uploading all backup into the current software system Assist the Regional Case Manager with obtaining extended and final authorizations from Managed Care payers Take part in Monthly Quad check meetings including verifying all approved levels, rates, diagnosis codes and dates of service Participate in weekly skilled nursing facility utilization meetings Attain discharge summaries as needed or directed by the Regional Case manager Provide the Regional Case Manager backup when needed.

What’s in it for you?

Health, dental, vision and life insurance.

Several great medical plans to choose from Generous Paid Time off 401k retirement plan: 100% match of your contribution up to 3%; 50% match up to 5% Robust tuition reimbursement: Up to $5,250
– Full-Time, $2,500
– Part-Time Annually UKG Wallet
– access to your earned wages before payday with qualifying conditions Understanding of insurance rules, manuals, and language LPN license a plus One Year Insurance Verification and Authorization experience required One Year Healthcare Managed Care experience required Possess excellent resident assessment skills, including the ability to evaluate the medical records from the referring facility Have demonstrated the ability to promote, negotiate, develop, and maintain relationships with consumers Have the ability to teach (formally and informally) internal staff and external contracts regarding the facilitys resident care delivery system Click Apply to join our Family Go to our website for more info and career opportunities www.ablehearts.org Requisition ID: 2022-14410