PA Nurse Home Healthcare LPN/RN

Caring Hearts Homecare Inc.; Wilmington (MA); Remote; USD 100,000 - 125,000; Part time

Job summary

Caring Hearts Homecare Inc. seeks a part-time RN/LPN as a Prior Authorization Specialist. The ideal candidate will ensure precise documentation and submission processes for patient authorizations, operating remotely while meeting specific qualifications and responsibilities in home care. Competitive pay is offered for this specialized role.

Benefits

Competitive Pay

Qualifications

• Must be a nurse (LPN/RN) with home care experience.
• Experience in Prior Authorization submission processes required.
• Strong organizational skills and attention to detail.

Responsibilities

• Assist in the completion of Prior Authorization document requests.
• Submit Prior Authorization requests to insurance companies.
• Manage tracking and audits for PA approvals.

Skills

Home care experience

Ability to work independently

Good computer skills

Education

LPN/RN license

Job description

PA Nurse Home care (Full Remote) Need to be MA resident.

About the Job:
Caring Hearts Homecare is looking to hire a part-time nurse (LPN/RN) as a Prior Authorization Specialist, someone who is self-driven, responsible, organized, and pays attention to details.

Qualifications:

• Must be a nurse (LPN/RN).
• Must have home care experience as an LPN/RN.
• Have experience in Prior Authorization submission processes.
• Ability to work independently and manage time effectively as an LPN/RN.
• Good computer skills.

Responsibilities include:

• Assist in the completion of Prior Authorization document requests as an LPN/RN.
• Review Prior Authorization documents for completion and accuracy as an LPN/RN.
• Submit Prior Authorization requests to appropriate insurance companies for approval as an LPN/RN.
• Track submitted PA requests.
• Audit to ensure PAs are in place for all patients as an LPN/RN.
• In charge of PA appeals and follow up on any additional requests for documents needed for PA approval as an LPN/RN.
• Manage and maintain tracking PA tool as an LPN/RN.
• Performs other duties as assigned.

Benefits include:

• Competitive Pay.