RN Authorizing Specialist — Hybrid Home Health

Cnscares; Oak Ridge (TN); Hybrid; USD 80,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision

401K

Unlimited PTO

Health Savings Account

Job summary

CNS Cares in Knoxville, TN seeks an experienced RN Authorizing Specialist to review authorization requests and ensure they meet all standards, regulatory, and contractual requirements. The role emphasizes timely documentation, clinical judgment, and collaboration with the care team.

The position involves preparing records, auditing patient files, and coordinating with clinicians to optimize patient outcomes while maintaining EMR/CRM accuracy. A home health background is essential.

Qualifications

• Graduate from an accredited school of nursing.
• Current RN license (compact license preferred).
• At least two years of home health experience.

Responsibilities

• Reviews authorization requests for medical necessity and ensures compliance with standards.
• Prepares documentation and performs audits of patient records.
• Coordinates with the clinical team for timely authorizations and renewals.
• Maintains and updates documentation in EMR and CRM within required timelines.
• Monitors authorization expirations and communicates renewal needs to the team.
• Collaborates with sales/clinical staff to ensure accurate patient plans of care.

Skills

Customer service

Team collaboration

Clinical knowledge

Education

Nursing degree

Tools

EMR

CRM

Job description

CNS Cares in Knoxville, TN seeks an experienced RN Authorizing Specialist to review authorization requests and ensure they meet all standards, regulatory, and contractual requirements. The role emphasizes timely documentation, clinical judgment, and collaboration with the care team.

The position involves preparing records, auditing patient files, and coordinating with clinicians to optimize patient outcomes while maintaining EMR/CRM accuracy. A home health background is essential.