• Inpatient Auth Review

    HCA Healthcare (Plano, TX)
    …and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Auth Review Services RN or LPN Parallon ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking an Inpatient Auth Review Services more
    HCA Healthcare (10/31/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …professionalism and motivation with excellent written and verbal communication and customer service skills. **_Financial Management_** + Review each visit for ... Maintain a monitoring system for adequate benefit coverage and eligibility throughout the inpatient stay. + Review payer denials and communication from PFS… more
    University of Rochester (10/14/25)
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  • Care Review Clinician (LVN) Prior…

    Molina Healthcare (Fort Worth, TX)
    …Excel, Teams, and One Note. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services ... 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of… more
    Molina Healthcare (10/30/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …urgent, emergent, and pre-admission visits with a Surgery Admit and Inpatient /Outpatient levels of care. Coordinates all activities necessary to financially secure ... defined case load through verifying insurances, requesting deposits for non-covered services and co-pays. Identifies complex problems, including but not limited to,… more
    University of Rochester (10/03/25)
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  • Inpatient Authorization Review

    HCA Healthcare (Aventura, FL)
    …of each individual is recognized. Submit your application for the opportunity below: Inpatient Authorization Review Services SpecialistWork from Home ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking an Inpatient Authorization Review Services Specialist… more
    HCA Healthcare (10/30/25)
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  • Care Review Clinician LVN

    Molina Healthcare (San Francisco, CA)
    …hours permanently** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that ... 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of… more
    Molina Healthcare (11/01/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (WA)
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or...experience in Hospital Acute Care, ER or ICU, Prior Auth , Utilization Review / Utilization Management and… more
    Molina Healthcare (10/24/25)
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  • Care Review Clinician (LVN / LPN)

    Molina Healthcare (Cedar Rapids, IA)
    JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or...emergency room. Previous experience in ER or ICU, Prior Auth , Utilization Review / Utilization Management and… more
    Molina Healthcare (10/22/25)
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  • Health Insurance & Authorization Specialist I

    Highland Hospital (Rochester, NY)
    …and perform quality control function for all preadmission visits on surgical inpatient , short stay 23 (SS23), Endo and ambulatory procedures ensuring all pertinent ... is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance...file for correct level of care, inquires on prior auth denials and works with the Provider's office to… more
    Highland Hospital (09/02/25)
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