Top 263 Director nursing services Jobs in Columbus

Central Auth Coord - HHH
Ohio Living —Westerville, OH
- Weekends as needed
- Microsoft Excel
- English
- Mid-level
Quick Apply
Nurse Manager
RI International —Columbus, OH
- $95,000 - $105,000 a year
- Full-time
- Background check
- 18 years or older
- Nursing
- Health savings account
- Disability insurance
Quick Apply
4d
RN, Regional Director of Clinical Operations
CommuniCare Health Services Corporate —Lewis Center, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Director of Nursing (DON)
Skilled Nursing of Columbus —Columbus, OH
- $95,000 - $100,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid holidays
- 401(k)
Quick Apply
7d
Marketing Director
North Health & Rehab Center —Worthington, OH
- $75,000 a year
- Full-time
- Skilled nursing facility
- Customer service
- Computer literacy
- Health savings account
- Health insurance
Quick Apply
7d
Manager of Family Services
Lifeline of Ohio —Columbus, OH
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Health savings account
Quick Apply
Director of Social Services
Columbus Healthcare Center —Columbus, OH
- Full-time
- Skilled nursing facility
- Management
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Director of Operations
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC —Columbus, OH
- Nursing
- 7 years
- Master's degree
Quick Apply
Senior Director, Operations
Recovery Innovations —Columbus, OH
- $125,000 - $135,000 a year
- Full-time
- Background check
- LMFT
- 18 years or older
- Health insurance
- Dental insurance
Quick Apply
9d
Director Nursing - Women's Newborn Services
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Hospital
Director of Nursing
Trueman Pointe Care Center —Hilliard, OH
- Full-time
- Nursing
- RN License
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
Social Services Director
Eastland Care Center —Columbus, OH
- Full-time
- Skilled nursing facility
- Mid-level
- Bachelor's degree
Quick Apply
Assistant Director of Nursing
Scioto Rehabilitation & Care Center —Columbus, OH
- Full-time
- Nursing
- RN License
- Senior level
Quick Apply
6d
Director of CNA Services
Suncrest Hospice —Columbus, OH
- CPR Certification
- RN License
- BLS Certification
- Health insurance
- Dental insurance
6d
Executive Director
Wallick —Hilliard, OH
- Full-time
- Background check
- 5 years
- Physical & Rehabilitation Medicine
- Paid parental leave
- Health insurance
Quick Apply
7d
Food Service Director/Dietary Manager
Allbridge Rehabilitation and Nursing Center —Columbus, OH
- Full-time
- Mid-level
- Supervising experience
- Kitchen
Quick Apply
Physician Director of Healthcare Services
National Church Residences —Dublin, OH
- Full-time
- Medicine
- 7 years
- Skilled nursing facility
Quick Apply
6d
Director, Nursing Clinical Support Services
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Nursing
- 7 years
2d
Director of Nursing Residency Program
Saber Community Support and Development Office —Columbus, OH
- Full-time
- CPR Certification
- RN License
- Nursing home
- Health savings account
- Health insurance
Quick Apply
Admissions and Marketing Director
Sovran Health & Rehab Center —Columbus, OH
- $65,000 - $78,000 a year
- Full-time
- Skilled nursing facility
- Customer service
- 3 years
- Health savings account
- Health insurance
Quick Apply

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Central Auth Coord - HHH

Ohio Living -
Westerville, OH

Quick Apply

Job Details

Full-time

Qualifications

Microsoft Excel
English
Windows
High school diploma or GED
Productivity software

Full Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.

The Central Authorization Coordinator coordinates and processes all new and extended cases within the workflow of the Central Authorization Department through verification of insurances, setting up patient demographic and billing information, and submitting all insurance authorizations required by the payer with accuracy and knowledge of third party payers in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Essential Activities and Tasks

Authorization Verification and Management - 60%

Completes all workflow assigned authorization tasks within primary workflow software in a timely and accurate manner, relating to home health and hospice services.
Uploads and indexes all relevant documentation to client attachments within primary workflow software, specifically regarding authorization approval and updates.
Submits all required authorizations utilizing payer-based web portals or fax, as applicable.
Completes all necessary items required to finalize pending authorizations; subsequently updates primary workflow software with relevant changes to authorization status, frequency and dates.
Responds to all email and phone requests from sites in a timely and professional manner.
Escalates all known issues of concern to Division Manager of Accounts Receivable - HHH or Central Admissions Supervisor in a timely manner.
Completes all recertification on existing authorizations, as supported by continuation of services by physician orders.
Notifies site personnel of any existing issues relating to the validity and/or finalization of authorization of services rendered.
Reviews authorization workflow for newly opened admission or recertification, verifies patient homebound status when required. If patient is no longer homebound, determines if alternative insurance available that doesn’t require homebound status.
Completes coordination note of authorization activity to assure timely communication with locations and billing staff.
Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring alignment of patient orders, discipline visits and authorizations match requests).
Tracks all appeals and appeal decisions to assure authorization requests are reconciled with visits. Communicates appeal decisions with locations.
Updates pending authorizations by checking status of authorizations awaiting determination and contacting payors and verifying payor portals for results.
Re-verifies patient eligibility and patient benefits monthly to assure patients’ insurance plans are still active.
Responds to additional documentation requests from insurance plans for additional information required to provide necessary authorizations.
Validates accuracy of central intake data input of patient demographic information and selection of primary payor based upon coordination of benefits.
Works within electronic medical records software to process authorizations and denial appropriately and notifies location after authorization adjustments have been completed.

Appeal Tracking and Administration - 20%

Sends medical record appeal packets sent by therapy vendors, Director of Nursing, Regional Directors of Clinical Operations (RDCO) and administrative staff.
Enters all tracking information and appeal updates on the Additional Development Request (ADR) log.
Systematically reviews Retrospective Post Payment Medical Record Reviews for takeback adjustments and clears entries over 90 days old that have not been adjusted or resubmitted by entering payment amount on ADR log.
Communicates with Third Party Accounts Receivable Coordinators and RDCOs on all appeal correspondences and updates.

Data Entry - 20%

Creates facesheet, as needed, and verifies that all demographic and billing information is accurate and complete through validation of patient-supplied information from the referring facility.
Completes all Authorization related workflow tasks, as needed, for data integrity.
Ensures statement set-up is complete prior to month-end close.
Enters all authorization numbers for all services in billing systems in a timely and accurate manner.
Tracks all outpatient start and end of care episodes in the electronic medical records system.
May be responsible for therapy billing code entry.

All other duties as assigned.

Qualifications

Education

High school diploma or equivalent required.

Experience

Experience in insurance and billing required.
Experience in long-term care, hospital, or other related healthcare accounting preferred.
Experience with Medicare Advantage and Medicaid eligibility preferred.
Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.

Other Requirements

Must be able to read, write, speak, and understand the English language.

Working Conditions and Special Requirements

Sitting - Up to 8 hours/day
Standing - Up to 2 hours/day
Walking - Up to 2 hours/day
Lifting, transferring, pushing or pulling equipment/supplies - Up to 25 pounds
Driving - Up to 6 hours/day
Work weekends, evenings, and holidays - As needed for coverage
Risk Category for Exposure to Bloodborne Diseases - III

Quick Apply

Refine Your Search

director nursing services jobs in columbus

Central Auth Coord - HHH

Nurse Manager

RN, Regional Director of Clinical Operations

Director of Nursing (DON)

Marketing Director

Manager of Family Services

Director of Social Services

Director of Operations

Senior Director, Operations

Director Nursing - Women's Newborn Services

Director of Nursing

Social Services Director

Assistant Director of Nursing

Director of CNA Services

Executive Director

Food Service Director/Dietary Manager

Physician Director of Healthcare Services

Director, Nursing Clinical Support Services

Director of Nursing Residency Program

Admissions and Marketing Director

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