Job Seekers, Welcome to CCMC Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Northeast Georgia Health System
Gainesville, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Spokane, Washington
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Atlantic Health System
Morristown, New Jersey
NEW! NEW!
NEW! NEW!
NEW! NEW!
Atlantic Health System
Basking Ridge, New Jersey
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
BJC HealthCare
Saint Louis, Missouri
NEW! NEW!
NEW! NEW!
Atlantic Health System
Morristown, New Jersey
NEW! NEW!
Atlantic Health System
Morristown, New Jersey
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
LVN Pre/Authoriz Nurse Auditor
JOB SUMMARY: Works as part of integrated team and is involved in reviews of authorization requests and communicates with the physicians and clinic when additional information is needed or assists clinical practitioner's office in re-directing care to an appropriate plan provider or facility. Performs activities that include obtaining payer authorization for outpatient services that require notification/authorization based on payer specific guidelines. Responsible for clinical part of audit to determine if all charges have been captured appropriately. Maintains a thorough understanding of the plans provider contracts, authorization requirements and Interqual Criteria Provides ongoing follow-up and re-evaluation of clin
Loading. Please wait.