Authorization and Orders Nurse - RN
Description
Anticipated Compensation: $28 - $32 per hour
This is a hybrid position - primarily remote, with one in-office day per week on-site at our Pueblo, CO location (must reside within commuting distance of office).
Schedule: Monday – Friday, daytime business hours
The Authorization and Orders Nurse is responsible for reviewing authorization requests, ensuring compliance with state and agency requirements, and coordinating patient services with providers, patients, and families. The role also includes documentation, chart audits, and support with orders management.
In this role, you will:
- Perform evaluation of clients receiving services under a medically approved Plan of Care.
- Collaborate with internal staff and external providers to coordinate patient care.
- Perform clinical reviews of authorization requests using appropriate criteria. Provide accurate and complete documentation with rationale used to approve requests.
- Gather supporting documentation (letters of medical necessity, specialist notes, history & physicals, etc.) for PAR submissions.
- Enter and maintain clinical information in multiple health management systems.
- Prepare social histories to augment services or guide changes in level of service, considering family relationships and meaning of illness to the client/family.
- Conduct chart audits for compliance and process incoming faxes.
- Participate in case conferences, department meetings, and other agency initiatives.
- Write, review, and co-sign orders to ensure accuracy and compliance.
- Provide oversight of the department team. Assign duties, monitor staff performance, and ensure smooth collaboration within the team.
Qualifications
- Active Registered Nurse (RN) licensure (Colorado or compact state)
- Graduate of an accredited Nursing program
- High school diploma or equivalent required
- Home health or prior authorization experience highly preferred
- Proficiency with MS Office
- Excellent organizational, communication, and multitasking skills
Why Angels of Care
In addition to our great benefits, we offer a fun and supportive culture rooted in our values of Heart, Advocacy, Love, Outreach, and Speed (HALOS). At Angels of Care, you’ll have the unique opportunity to make an impact while working with dedicated, talented colleagues. We believe in fostering career advancement and providing opportunities for you to expand your skill set, take on new responsibilities, and grow alongside the company.
- Competitive Pay
- Paid Time Off
- Medical, Dental, & Vision Plans with a generous contribution from AOC
- HSA/FSA
- Mental Wellness Benefits
- 401K
- Discounts on Pet, Home, and Auto Insurance
- And more!
U.S. Equal Employment Opportunity/Affirmative Action Information
Individuals seeking employment at Angels of Care Pediatric Home Health are considered without regards to race, color, religion, sex, sexual orientation, gender identification, national origin, age, marital status, ancestry, physical or mental disability, or veteran status.
#LI-HYBRID