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For more than three decades, Sunrise Hospital in Las Vegas has been Nevada’s largest, most comprehensive children’s hospital dedicated to caring for infants, children, adolescents and expectant mothers. As the leading neonatal, pediatric, and maternal provider in the region, we partner with physicians and hospitals throughout the Southwest to offer the most comprehensive and advanced health programs as well as access to sub-specialties. Sunrise Children's Hospitalprovides advanced pediatric and neonatal medicine to the residents of Southern Nevada and the surrounding region. Located near the Las Vegas strip,Sunrise Children’s Hospitaloffers 24/7 pediatric emergency services in our ER just for kids. In addition to pediatric cardiology,Sunrise Children's Hospitalalso features Nevada's largest, most comprehensive 72-Bed Level III Neonatal Intensive Care Unit (NICU), 24-bed Pediatric Intensive Care Unit (PICU), and 14-bed inpatient pediatric Cardiac Intensive Care Unit (CICU), the only one of its kind in Nevada today. The CICU is a 12,000 square-foot unit dedicated to the treatment of congenital heart defects, heart rhythm disturbances and heart disease in infants and children.As Las Vegas' largest acute care facility (762 beds),Sunriseprovides sophisticated inpatient and outpatient services to the community. Sunrise Hospital & Medical Centerhas been recognized with the following awards and accreditations:Consumer Choice Award recipient for 15 consecutive years
Joint Commission Accredited
American Stroke Association Get with The Guidelines Gold Plus Performance Achievement Award
CARF Accredited Rehabilitation Unit
Nursing Professionals Top 100 Hospitals to Work For
Join us as we achieve our Mission Statement:/Sunrise Hospital & Medical Center //and Sunrise Children's Hospital are dedicated to providing an unparalleled level of measurable quality in the delivery of cost-effective, integrated healthcare services that are responsive to the needs of our patients, physicians, employees, and community./We are committed to providing our employees with the support they need. We offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:Student Loan Forgiveness
Tuition Reimbursement/Assistance Programs
Paid Personal Leave
401k (100% annual match – 3% to 9% of pay based on years of service)
Identity Theft Protection discounts
Auto, Home, and Life Insurance options
Adoption Assistance
Employee Stock Purchase Program (ESPP)
HCA is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitiousPrior AuthorizationSocial Work Associateto help us reach our goals. Unlock your potential here!POSITION SUMMARY:Obtain prior authorization and insurance eligibility for patients. Collaborate/Assist Case Managers, Social Workers and Physicians. Create/maintain excel spreadsheets, other duties as assigned.If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified, you will hear from one of our managers. Come unlock the possibilities and apply today!/We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status./MINIMUM QUALIFICATIONS:
Strong PC skills with current operating systems.Intermediate to advancedability to create excel spreadsheets for data tracking and trending (Will need to demonstrate prior to hire)Ability prioritize daily tasksKnowledge of medical terminologyMust have prior insurance eligibility and authorization experience. Must be able to retain a high level of confidentiality. Works independently and is flexible with all job duties.EXPERIENCE:
Minimum 1 year of experience working for post-acute services ie. Home Health Care, Skilled Nursing, Durable Medical Equipment, prior insurance eligibility and authorization experience/or/1 year working with Acute Hospital Case Management/Discharge Planning, prior insurance eligibility and authorization experienceEDUCATION: High School graduate, College graduate preferred
KNOWLEDGE, SKILLS, AND ABILITIES:
Excellent interpersonal, written and verbal skills.
Ability to create and utilize excel spreadsheets – prior to hire.
Well organized and have the ability to prioritize, and handle multiple tasks efficiently and independently.
Demonstrated ability to initiate and follow through with multiple projects.
A self-starter and independent worker with excellent time management skills.
Ability to thrive in a fast-paced, friendly and process-oriented office environment.
Possess strong PC skills with current operating systems
Can maintain accurate and specific documentation directed by the Case Management Plan.
Establish working relationships with outside agencies/payors to enhance public relations for Sunrise Hospital and Medical Center.
CERTIFICATION:
Basic Life Support Certification- Prior to hire dateNevada Notary Certificate- within 90 days of hireLICENSURE:None required.
MINIMUM QUALIFICATIONS:
Must have strong PC skills with current operating systems.
Must have strong ability to create excel spreadsheets for data tracking and trending
Must have critical thinking skills and the ability prioritize daily tasks
Must have knowledge of medical terminology
Must have prior insurance eligibility and authorization experience.
Must be able to retain a high level of confidentiality.
Works independently and is flexible with all job duties.
Must have outstanding telephonic and personable skills to communicate with various entities, (i.e. physicians, health plans, review nurses, clerical personnel, etc.).
Knowledge of Mental Health providers and community resources preferred
Must be a Nevada Notary/or/become a Nevada Notary within 90 days of hire.
EDUCATION: High School graduate, College graduate preferred
KNOWLEDGE, SKILLS, AND ABILITIES:
Must demonstrate excellent interpersonal, written and verbal skills.
Must demonstrate ability to create and utilize excel spreadsheets – prior to hire.
Must be well organized and have the ability to prioritize, and handle multiple tasks efficiently and independently.
Have demonstrated ability to initiate and follow through with multiple projects.
Must be a self-starter and independent worker with excellent time management skills.
Be able to thrive in a fast-paced, friendly and process-oriented office environment.
Must possess strong PC skills with current operating systems
Can maintain accurate and specific documentation directed by the Case Management Plan.
Establishes working relationships with outside agencies/payors to enhance public relations for Sunrise Hospital and Medical Center.
EXPERIENCE:
Minimum 1 year of experience working for post-acute services ie. Home Health Care, Skilled Nursing, Durable Medical Equipment/or/1 year working with Acute Hospital Case Management/Discharge Planning
Must have strong PC skills with current operating systems.
Must have strong ability to create excel spreadsheets for data tracking and trending
Must have critical thinking skills and the ability prioritize daily tasks
Must have knowledge of medical terminology
Must have prior insurance eligibility and authorization experience.
Must be able to retain a high level of confidentiality.
Works independently and is flexible with all job duties.
Must have outstanding telephonic and personable skills to communicate with various entities, (i.e. physicians, health plans, review nurses, clerical personnel, etc.).
Knowledge of Mental Health providers and community resources preferred
Must be a Nevada Notary/or/become a Nevada Notary within 90 days of hire.
CERTIFICATION:
Basic Life Support Certification- Prior to hire date
Nevada Notary Certificate- within 90 days of hire
LICENSURE:None required.
Job: Admitting Registration Clerical & Scheduling Title: Prior Auth Social Work Associate Location: Nevada-Las Vegas-Sunrise Hospital and Medical Center Requisition ID: 01541-25308
Vacancy expired!