Director of Insurance Authorization

Champion Care

$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • RN or LPN license highly preferred
  • Experience in insurance authorization, case management, or utilization review within SNF or post-acute care
  • Strong knowledge of Medicare, Medicaid, and managed care processes
  • Proven leadership experience managing teams in a healthcare setting
  • Ability to oversee multiple facilities, priorities, and deadlines
  • Strong communication and problem-solving skills
  • Highly organized with a focus on execution and accountability

Responsibilities

  • Lead and manage a team of Clinical Case Managers supporting multiple SNF locations
  • Ensure timely completion of insurance authorizations, updates, and appeals across various plans
  • Oversee daily workflows, including admissions, re-admissions, and discharge tracking
  • Monitor payer portals and address insurance concerns, denials, and documentation gaps
  • Conduct daily team check-ins to prioritize work, remove barriers, and drive accountability
  • Support case managers directly on complex or high-priority cases
  • Partner with facility leadership and back-office teams to ensure accurate billing and reimbursement
  • Develop and deliver training on NOMNCs, ABNs, and managed care processes
  • Stay current on insurance regulations and ensure team compliance
  • Lead hiring, onboarding, and performance evaluations for case management staff

Benefits

  • High-impact leadership role tied directly to revenue, census, and clinical outcomes
  • Opportunity to build, lead, and scale a high-performing team
  • Growth within a multi-facility healthcare organization
  • Collaborative and fast-paced environment
Full Job Description
Director of Insurance Authorization - Skilled Nursing (SNF)

Full-Time | Competitive Salary (Based on Experience)

We are seeking an experienced and driven Director of Insurance Authorization to lead our case management and authorization operations across multiple skilled nursing facilities.

This role is responsible for overseeing a team of Case Managers, ensuring timely insurance authorizations, reducing denials, and driving strong clinical and financial outcomes. If you have a strong clinical background and experience working with managed care, this is a high-impact leadership opportunity.
What You'll Do

As the Director of Insurance Authorization, you will oversee the full authorization and case management process while supporting both your team and facility partners.

Key Responsibilities:
  • Lead and manage a team of Clinical Case Managers supporting multiple SNF locations
  • Ensure timely completion of insurance authorizations, updates, and appeals across Medicare, Medicaid, and commercial plans
  • Oversee daily workflows, including admissions, re-admissions, and discharge tracking
  • Monitor payer portals and address insurance concerns, denials, and documentation gaps
  • Conduct daily team check-ins to prioritize work, remove barriers, and drive accountability
  • Support case managers directly on complex or high-priority cases
  • Partner with facility leadership and back-office teams to ensure accurate billing and reimbursement
  • Participate in weekly and monthly authorization and Medicare meetings
  • Develop and deliver training on NOMNCs, ABNs, and managed care processes
  • Stay current on insurance regulations and ensure team compliance
  • Lead hiring, onboarding, and performance evaluations for case management staff
What We're Looking For
  • RN or LPN license highly preferred
  • Experience in insurance authorization, case management, or utilization review within SNF or post-acute care
  • Strong knowledge of Medicare, Medicaid, and managed care processes
  • Proven leadership experience managing teams in a healthcare setting
  • Ability to oversee multiple facilities, priorities, and deadlines
  • Strong communication and problem-solving skills
  • Highly organized with a focus on execution and accountability
Why Join Us
  • High-impact leadership role tied directly to revenue, census, and clinical outcomes
  • Opportunity to build, lead, and scale a high-performing team
  • Growth within a multi-facility healthcare organization
  • Collaborative and fast-paced environment


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