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RN Authorizing Specialist at CNSCares
Denver, Colorado, United States - Full Time
Skills Needed
Clinical Knowledge, Customer Service, Documentation, Auditing, Patient Care, Collaboration, Care Coordination, Plan Of Care Creation, Electronic Medical Record Management, Regulatory Compliance, Process Improvement, Quality Assurance, Home Health Experience, Authorization Requests, Communication, Scheduling
Specialization
Candidates must be a graduate from an accredited nursing school with a current RN compact license and at least two years of home health experience. Home health authorization experience is strongly preferred.
Experience Required
Minimum 2 year(s)
Return to Work Specialist at AZGROUPPROD
Sydney, New South Wales, Australia - Full Time
Skills Needed
Injury Management, Claims Management, Coaching, Mentoring, Stakeholder Management, Strategy Development, Psychological Conditions, Mental Health, Emerging Technologies
Specialization
Candidates should have extensive experience in injury management and a solid understanding of regulatory compliance requirements. Coaching and mentoring experience, along with the ability to manage stakeholders effectively, is essential.
Experience Required
Minimum 5 year(s)
Client Service Specialist at COGENCY GLOBAL INC
Helena, MT 59601, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Family Support Specialist at Santa Fe Recovery Center, Inc
Santa Fe, New Mexico, United States - Full Time
Skills Needed
Communication Skills, Cultural Diversity, Hipaa Knowledge, Behavioral Health, Case Management, Problem Solving Skills, Community Resources, Documentation Skills, Client Relationship Building, Critical Thinking, Organizational Skills, Educational Skills, Team Collaboration, Aftercare Planning, Confidentiality, Resource Coordination
Specialization
Candidates should possess excellent communication skills and a strong understanding of cultural diversity. A high school diploma is required, with a preference for a bachelor's degree and at least one year of relevant experience.
Client Support Specialist at Reader Precision Solutions
Elkhorn, WI 53121, USA - Full Time
Skills Needed
Learning, Outlook, Accountability, Flow Control, Secondary Education, Continuous Improvement, Customer Base, Communication Skills, Order Processing, Disabilities, Logistics Management, Reliability, Drive, Perspectives, Defense, Training, Office Equipment
Qualification
Diploma
Family Support Specialist at Ronald McDonald House Charities of New England
Providence, RI 02905, USA - Full Time
Skills Needed
Microsoft Outlook, Microsoft Office, Teams
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Air Export HUB Specialist at JAS Worldwide
Chicago, Illinois, USA - Full Time
Skills Needed
Ged, Freight Forwarding, Air Freight, Communication Skills, It, Computer Skills
Qualification
Diploma
Client Service Specialist at Valley National Bank
Saint Petersburg, FL 33716, USA - Full Time
Skills Needed
Treasury Management, Commercial Real Estate, Salesforce, Support Systems, Customer Service, External Clients, Project Teams, Ged
Specialization
Analytical
Qualification
Graduate
Specialist Prosthodontist at Careerlink HR
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Prosthodontics, Oral Hygiene, Communication, Analytical Skills, Problem Solving, Detail Oriented, Hand Eye Coordination, Patient Care, Teeth Whitening, Dental Impressions, Collaboration, Dentures Repair, Facial Pain Treatment, Temporomandibular Disorders, Fixed Prosthodontics, Removable Prosthodontics
Specialization
Candidates must have a Bachelor's in dentistry and a specialization degree in Prosthodontics. A minimum of three years of experience as a Prosthodontist is required, along with sound knowledge of fixed and removable prosthodontics.
Experience Required
Minimum 2 year(s)
Sr. Compliance Specialist at Embraer
Melbourne, FL 32935, USA - Full Time
Skills Needed
Lotus Notes, Sharepoint, Customer Service, Creativity, Regulatory Requirements, Powerpoint, Excel, Sap, Alternative Solutions, Regulations, International Business, Legal Research, Internet Explorer, Professional Manner, Communication Skills, Itar, Ear
Qualification
Graduate
Experience Required
Minimum 8 year(s)
Member Service Specialist at UNIFY Talent Acquisition
San Bruno, CA 94066, USA - Full Time
Skills Needed
Communication Skills, Features, Microsoft Word, Training Programs, Sales Skills, Excel, Interpersonal Skills, Outlook, Customer Service
Specialization
A financial institution
Qualification
Diploma
Retail Service Specialist at O'Reilly Auto Parts
Petersburg, Virginia, United States - Full Time
Skills Needed
Strong Communication Skills, Retail Sales Experience, Automotive Systems Knowledge, Repair Knowledge, Ase Certification, Bilingual Skills
Specialization
Strong communication skills are required, along with a preference for retail sales experience and automotive knowledge. Bilingual candidates, especially in Spanish, are encouraged to apply.
Administrative Specialist at The State of Kansas
Shawnee County, Kansas, USA - Full Time
Skills Needed
Tax Law, Communication Skills, Revenue, Computer Skills, Processing
Qualification
Graduate
Experience Required
Minimum 4 year(s)
Cyber Security Specialist at CAE Inc
Homebush, New South Wales, Australia - Full Time
Skills Needed
Cisa, Event Monitoring, Information Technology
Specialization
Cyber security information technology or related experience
Qualification
Graduate
Communications Specialist at Whirlpool Corporation - Canada
Greenville, Ohio, United States - Full Time
Skills Needed
Communications Tools, Digital Campaigns, Video Creation, Google Suite, Canva, Asana, Writing Skills, Visual Content Creation, Interpersonal Skills, Organizational Skills, Change Management, Employee Engagement, Strategic Thinking, Attention To Detail, Self Starter, Team Player
Specialization
Candidates must possess a Bachelor's degree in Communications, Marketing, or Journalism, along with proven experience in managing digital campaigns. Familiarity with tools like Google Suite, Canva, and Asana, as well as advanced video creation skills, are essential.
Experience Required
Minimum 2 year(s)
Bilingual Loan Specialist at Regional Finance Company of California LLC
Sacramento, CA 95834, USA - Full Time
Skills Needed
Access, Background Checks
Qualification
Diploma
JUDGMENT ENTRY SPECIALIST at MESSERLI KRAMER P.A.
Plymouth, Minnesota, United States - Full Time
Skills Needed
Data Entry Skills, Troubleshooting, Problem Solving, Attention To Detail, Written Communication, Verbal Communication, Multi Tasking, Self Motivation, Excel, Accounting, Legal Experience
Specialization
A High School Diploma or GED is required, with a degree in Accounting preferred. Candidates should have 2+ years of accounting experience and advanced Excel skills.
Experience Required
Minimum 2 year(s)
Showroom Sales Specialist at Monk Office
Victoria, BC V8X 1R2, Canada - Full Time
Skills Needed
Customer Service
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Return to Work Specialist at Gallagher
Adelaide, South Australia, Australia - Full Time
Skills Needed
Injury Management, Customer Service, Claims Management, Legislative Compliance, Stakeholder Engagement, Healthcare Knowledge, Communication Skills, Advisory Skills
Specialization
A minimum of 3-5 years of experience is required, preferably in a healthcare-related field. The role emphasizes the importance of customer-focused service and compliance with legislative requirements.
Experience Required
Minimum 5 year(s)
Safety Specialist (m/w/d) at Optima Packaging Group Gmbh
9BM, , Germany - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
RN Authorizing Specialist at CNSCares
Denver, Colorado, United States -
Full Time


Start Date

Immediate

Expiry Date

15 Dec, 25

Salary

78000.0

Posted On

17 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical Knowledge, Customer Service, Documentation, Auditing, Patient Care, Collaboration, Care Coordination, Plan of Care Creation, Electronic Medical Record Management, Regulatory Compliance, Process Improvement, Quality Assurance, Home Health Experience, Authorization Requests, Communication, Scheduling

Industry

Hospitals and Health Care

Description
Description Salary: $78,000 per year or more depending on experience Location: Denver, CO *This position is fully remote, but must live in the state of Colorado Full-Time, Monday-Friday Benefits Summary Medical, dental, vision, and 401K Matching 401k (up to 6% match) Unlimited Paid Time Off (PTO) Health Savings Account (HSA) Summary On behalf of CNS Cares (“CNS” or “Company”), the purpose of this position is to provide timely review of authorization requests and ensure the requests meet all applicable standards, regulatory, and contractual requirements. The RN Authorizing Specialist will also use their clinical knowledge and experience to promote quality patient care. Additionally, the RN Authorizing Specialist will prepare documentation, perform audits of patient records, and coordinate with the clinical team as needed. Essential Functions Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and demonstrate a comprehensive in-home clinical knowledge base. Other assigned duties include: Evaluates the medical necessity and appropriateness of ordered level of care, utilizing standard criteria and clinical judgment to optimize patient outcomes. Provides accurate and complete documentation with rationale to ensure reauthorization of patients. Maintains a 100% monthly average of controllable submissions to DOL prior to the patient’s expiration date. Maintains a 100% monthly average of completing and submitting a 60-day summary to the ordering physician. Completes assigned chart reviews as assigned within established time frames. Creates plans of care according to state and accrediting body regulations and maintains a 100% monthly average of controllable up to date plans of care. Creates episodes in the electronic medical record during the renewal period. Updates the electronic medical record with authorizations within 24 hours of notification of authorization. Requests continuation of care when appropriate and enters continuation of care information into the electronic medical record. Keeps the renewal pipeline current with any changes daily. Establish and promote a collaborative relationship with patient, physicians, payers, and other members of the health-care team. Collects and communicates pertinent, timely information to payers to ensure reauthorization of patient’s home health care services. Collaborates with the patient, State Administrators and other clinical staff to coordinate patient authorization periods. Coordinates with the patient, State Administrators and other clinical staff regarding scheduling and attending patient renewal appointments, and regarding episodes in the electronic medical record. Schedules or support in scheduling all renewal appointments in assigned region. Actively involved in the process improvement activities to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Participates in assigned quality assurance committee(s) and interdepartmental projects when needed or requested. Demonstrates current knowledge of Payor policy and procedure(s). Other duties as assigned. Requirements Education/Training Required: Graduate from an accredited school of nursing. Current Registered Nurse compact license At least two (2) years of home health experience Preferred: Home health RN authorization experience strongly preferred Home health Department of Labor (DOL)/ EEOICPA experience strongly preferred Licensure/Certification Valid Driver’s License Valid and current BLS Certification Valid Registered Nurse (RN) compact license Clearances The following background checks are conducted: Criminal background Driving Record OIG Exclusion List Sex Offender Registry #TFIND
Responsibilities
The RN Authorizing Specialist is responsible for reviewing authorization requests to ensure compliance with standards and regulations while promoting quality patient care. They will also prepare documentation, perform audits, and coordinate with the clinical team as needed.
RN Authorizing Specialist at CNSCares
Denver, Colorado, United States - Full Time
Skills Needed
Clinical Knowledge, Customer Service, Documentation, Auditing, Patient Care, Collaboration, Care Coordination, Plan Of Care Creation, Electronic Medical Record Management, Regulatory Compliance, Process Improvement, Quality Assurance, Home Health Experience, Authorization Requests, Communication, Scheduling
Specialization
Candidates must be a graduate from an accredited nursing school with a current RN compact license and at least two years of home health experience. Home health authorization experience is strongly preferred.
Experience Required
Minimum 2 year(s)
Return to Work Specialist at AZGROUPPROD
Sydney, New South Wales, Australia - Full Time
Skills Needed
Injury Management, Claims Management, Coaching, Mentoring, Stakeholder Management, Strategy Development, Psychological Conditions, Mental Health, Emerging Technologies
Specialization
Candidates should have extensive experience in injury management and a solid understanding of regulatory compliance requirements. Coaching and mentoring experience, along with the ability to manage stakeholders effectively, is essential.
Experience Required
Minimum 5 year(s)
Client Service Specialist at COGENCY GLOBAL INC
Helena, MT 59601, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Family Support Specialist at Santa Fe Recovery Center, Inc
Santa Fe, New Mexico, United States - Full Time
Skills Needed
Communication Skills, Cultural Diversity, Hipaa Knowledge, Behavioral Health, Case Management, Problem Solving Skills, Community Resources, Documentation Skills, Client Relationship Building, Critical Thinking, Organizational Skills, Educational Skills, Team Collaboration, Aftercare Planning, Confidentiality, Resource Coordination
Specialization
Candidates should possess excellent communication skills and a strong understanding of cultural diversity. A high school diploma is required, with a preference for a bachelor's degree and at least one year of relevant experience.
Client Support Specialist at Reader Precision Solutions
Elkhorn, WI 53121, USA - Full Time
Skills Needed
Learning, Outlook, Accountability, Flow Control, Secondary Education, Continuous Improvement, Customer Base, Communication Skills, Order Processing, Disabilities, Logistics Management, Reliability, Drive, Perspectives, Defense, Training, Office Equipment
Qualification
Diploma
Family Support Specialist at Ronald McDonald House Charities of New England
Providence, RI 02905, USA - Full Time
Skills Needed
Microsoft Outlook, Microsoft Office, Teams
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Air Export HUB Specialist at JAS Worldwide
Chicago, Illinois, USA - Full Time
Skills Needed
Ged, Freight Forwarding, Air Freight, Communication Skills, It, Computer Skills
Qualification
Diploma
Client Service Specialist at Valley National Bank
Saint Petersburg, FL 33716, USA - Full Time
Skills Needed
Treasury Management, Commercial Real Estate, Salesforce, Support Systems, Customer Service, External Clients, Project Teams, Ged
Specialization
Analytical
Qualification
Graduate
Specialist Prosthodontist at Careerlink HR
Dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
Prosthodontics, Oral Hygiene, Communication, Analytical Skills, Problem Solving, Detail Oriented, Hand Eye Coordination, Patient Care, Teeth Whitening, Dental Impressions, Collaboration, Dentures Repair, Facial Pain Treatment, Temporomandibular Disorders, Fixed Prosthodontics, Removable Prosthodontics
Specialization
Candidates must have a Bachelor's in dentistry and a specialization degree in Prosthodontics. A minimum of three years of experience as a Prosthodontist is required, along with sound knowledge of fixed and removable prosthodontics.
Experience Required
Minimum 2 year(s)
Sr. Compliance Specialist at Embraer
Melbourne, FL 32935, USA - Full Time
Skills Needed
Lotus Notes, Sharepoint, Customer Service, Creativity, Regulatory Requirements, Powerpoint, Excel, Sap, Alternative Solutions, Regulations, International Business, Legal Research, Internet Explorer, Professional Manner, Communication Skills, Itar, Ear
Qualification
Graduate
Experience Required
Minimum 8 year(s)
Member Service Specialist at UNIFY Talent Acquisition
San Bruno, CA 94066, USA - Full Time
Skills Needed
Communication Skills, Features, Microsoft Word, Training Programs, Sales Skills, Excel, Interpersonal Skills, Outlook, Customer Service
Specialization
A financial institution
Qualification
Diploma
Retail Service Specialist at O'Reilly Auto Parts
Petersburg, Virginia, United States - Full Time
Skills Needed
Strong Communication Skills, Retail Sales Experience, Automotive Systems Knowledge, Repair Knowledge, Ase Certification, Bilingual Skills
Specialization
Strong communication skills are required, along with a preference for retail sales experience and automotive knowledge. Bilingual candidates, especially in Spanish, are encouraged to apply.
Administrative Specialist at The State of Kansas
Shawnee County, Kansas, USA - Full Time
Skills Needed
Tax Law, Communication Skills, Revenue, Computer Skills, Processing
Qualification
Graduate
Experience Required
Minimum 4 year(s)
Cyber Security Specialist at CAE Inc
Homebush, New South Wales, Australia - Full Time
Skills Needed
Cisa, Event Monitoring, Information Technology
Specialization
Cyber security information technology or related experience
Qualification
Graduate
Communications Specialist at Whirlpool Corporation - Canada
Greenville, Ohio, United States - Full Time
Skills Needed
Communications Tools, Digital Campaigns, Video Creation, Google Suite, Canva, Asana, Writing Skills, Visual Content Creation, Interpersonal Skills, Organizational Skills, Change Management, Employee Engagement, Strategic Thinking, Attention To Detail, Self Starter, Team Player
Specialization
Candidates must possess a Bachelor's degree in Communications, Marketing, or Journalism, along with proven experience in managing digital campaigns. Familiarity with tools like Google Suite, Canva, and Asana, as well as advanced video creation skills, are essential.
Experience Required
Minimum 2 year(s)
Bilingual Loan Specialist at Regional Finance Company of California LLC
Sacramento, CA 95834, USA - Full Time
Skills Needed
Access, Background Checks
Qualification
Diploma
JUDGMENT ENTRY SPECIALIST at MESSERLI KRAMER P.A.
Plymouth, Minnesota, United States - Full Time
Skills Needed
Data Entry Skills, Troubleshooting, Problem Solving, Attention To Detail, Written Communication, Verbal Communication, Multi Tasking, Self Motivation, Excel, Accounting, Legal Experience
Specialization
A High School Diploma or GED is required, with a degree in Accounting preferred. Candidates should have 2+ years of accounting experience and advanced Excel skills.
Experience Required
Minimum 2 year(s)
Showroom Sales Specialist at Monk Office
Victoria, BC V8X 1R2, Canada - Full Time
Skills Needed
Customer Service
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Return to Work Specialist at Gallagher
Adelaide, South Australia, Australia - Full Time
Skills Needed
Injury Management, Customer Service, Claims Management, Legislative Compliance, Stakeholder Engagement, Healthcare Knowledge, Communication Skills, Advisory Skills
Specialization
A minimum of 3-5 years of experience is required, preferably in a healthcare-related field. The role emphasizes the importance of customer-focused service and compliance with legislative requirements.
Experience Required
Minimum 5 year(s)
Safety Specialist (m/w/d) at Optima Packaging Group Gmbh
9BM, , Germany - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
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