Central Authorization Coordinator PRN

HCA Healthcare•Nashville, TN

4d•Remote

About The Position

Under general supervision of the RVP/AVP for HCA Post-Acute Services Division, The Central Authorization Coordinator is responsible for managing/coordinating all day to day managed care admissions with the Post Acute Transition Specialists and/or admissions staff with all managed care payers. This includes utilizing a interdisciplinary approach to coordinate the insurance approval of care of all necessary types of post acute disposition patients to assure smooth, efficient functioning Post Acute Service Units and delivery of quality health care services. Post acute disposition can include but is not limited to: Inpatient Rehabilitation, Home Health, Hospice, LTACH, SNF, etc. The Central Authorization Coordinator acts as the business and clinical resource for the department. Utilizes quality improvement activities and audits as necessary, development of new programs and clinical procedures, and collaboration with Division Post Acute Service Units to promote efficiency and customer service and assists Market Managers and Program Directors as necessary. Assist AVP with coordination and management of central authorization program. Assumes additional supervisory/administrative responsibilities as assigned by AVP. Majority of the responsibilities involves central insurance authorization for the post acute service lines as needed. For the effective and efficient admissions process in the delivery of these services: Continuously evaluates, develops a plan and conducts business with insurance payers for the appropriate approval/authorization for post acute patients to meet the individual needs of medically referred patients in an efficient, productive manner and within the established guidelines for HCA and Nursing Professional Standards for Practice and Code of Ethics. To maintain accurate, current records on all patients according to policy and procedures. To assist with educational programs for departmental and hospital ASSOCIATES and to uphold the standards of the department and hospital by dealing with patients, visitors, ASSOCIATES and other medical professionals in a respectful, courteous manner.

Requirements

Associate Degree
Registered Nurse, or Licensed Practical / Vocational Nurse (LPN / LVN), or Licensed Physical Therapy, or Advance Practice Registered Nurse (APRN)
Minimum 1 years experience working with Managed Care insurance plans with working first hand knowledge/experience in approval/authorization process in post acute care services.
Must possess good interpersonal and program development skills.

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.