About the Role: The Authorization CNA Specialist will obtain prior authorizations for surgeries and all modalities including diagnostic imaging, cardiac imaging, procedures, prescription medications, Veterans Administration authorizations, some durable medical equipment, and outside referral authorizations. This position ensures that prior authorizations are completed promptly and accurately. This position is responsible to properly document in the electronic health record per the Prior Authorization protocol. Qualifications: High school diploma or equivalent required; completion of a Certified Nursing Assistant (CNA) program is mandatory. Valid CNA certification and current registration in the state of employment. Minimum of 2 year experience in a healthcare setting, preferably involving patient care coordination or administrative support. Strong knowledge of healthcare insurance processes, including prior authorization requirements. Proficiency in using electronic health records (EHR) systems and standard office software. Experience working in a hospital or clinical environment with direct exposure to insurance authorization processes. Familiarity with medical terminology and clinical procedures relevant to authorization requests. Demonstrated ability to handle multiple tasks efficiently in a fast-paced environment. Excellent interpersonal skills with experience in patient advocacy or customer service. Responsibilities: Review and process authorization requests for clinical services, ensuring accuracy and completeness of documentation. Communicate with healthcare providers, insurance companies, and patients to obtain necessary approvals and resolve any issues related to coverage. Maintain detailed records of authorization requests, approvals, denials, and appeals in compliance with organizational and regulatory standards. Monitor authorization status and follow up on pending requests to prevent delays in patient care. Collaborate with clinical and administrative teams to support patient care coordination and resolve authorization-related challenges. A conditional job offer is contingent upon successfully passing a pre-employment drug test and background checks. A Physical Capacity Profile may be required for some positions.
Regional West Health Services is an independent, integrated health care delivery system based in Scottsbluff, Nebraska that is seeking talented Registered Nurses. Our mission is a commitment to advancing the health and wellness of the individuals and communities we are honored to serve. To serve this mission, you will be delivering quality nursing care while utilizing critical thinking skills according to nursing best practice standards. The RN delegates care appropriately according to nursing practice standards. As an RWHS Registered Nurse, you will: Appropriately assess patients, apply clinical interventions, evaluate outcomes, and implement change to the individual plan of care. Adapt positively to fluctuating workload to maximize patient care and unit effectiveness. Remain flexible in staffing patterns, share equitably in meeting on-call /availability assignments, and actively seek resolutions of staffing conflicts. You may be a good fit if you have: Graduated from an accredited school of nursing. Bachelor of Science Degree in Nursing (BSN) preferred A compact or State of Nebraska Registered Nurse License; must have NE license within 60 days of hire American Heart Association’s BLS for Healthcare Providers certification required upon hire. ACLS and PALS certifications required within 6 months of hire or at earliest available course RWHS offers Relocation and Sign-On Bonuses as well as Loan Forgiveness Programs. We look forward to speaking with you.
Night shift: 5-5 Regional West Health Services is an independent, integrated health care delivery system based in Scottsbluff, Nebraska that is seeking talented Registered Nurses to work in Labor and Delivery, Postpartum, and Pediatrics. Our mission is a commitment to advancing the health and wellness of the individuals and communities we are honored to serve. To serve this mission, you will be delivering quality nursing care while utilizing critical thinking skills according to nursing best practice standards. The RN delegates care appropriately according to nursing practice standards. As an RWHS Registered Nurse, you will: Appropriately assess patients, apply clinical interventions, evaluate outcomes, and implement change to the individual plan of care. Adapt positively to fluctuating workload to maximize patient care and unit effectiveness. Remain flexible in staffing patterns, share equitably in meeting on-call /availability assignments, and actively seek resolutions of staffing conflicts. Adapt to working in Labor and Delivery, Postpartum, and Pediatrics You may be a good fit if you have: Graduated from an accredited school of nursing. Bachelor of Science Degree in Nursing (BSN) preferred A compact or State of Nebraska Registered Nurse License; must have NE license within 60 days of hire American Heart Association’s BLS for Healthcare Providers certification required upon hire. RWHS offers Relocation and Sign-On Bonuses as well as Loan Forgiveness Programs. We look forward to speaking with you.
Regional West Health Services is an independent, integrated health care delivery system based in Scottsbluff, Nebraska that is seeking talented Clinical Resource Nurses. Our mission is a commitment to advancing the health and wellness of the individuals and communities we are honored to serve. To serve this mission, you will function as a liaison between leadership and patient care staff assuming responsibility for the seamless facilitation of patient care across the continuum. You will also work with the other CRN’s and Nursing Supervisors to ensure optimal patient staffing to meet patient care needs. As an RWHS Clinical Resource Nurse, you will: Use critical thinking skills to be able to recognize priority patient situations that need immediate attention Demonstrate the knowledge and skills necessary to function as a nursing resource to staff, providers, patients and families Adapt positively to fluctuating workload to maximize patient care and unit effectiveness Remain flexible in staffing patterns, share equitably in meeting on-call /availability assignments, and actively seek resolutions of staffing conflicts You may be a good fit if you have: A Bachelor of Science Degree in Nursing (BSN) Compact or State of Nebraska Registered Nurse Licensure; must have NE license within 60 days of hire American Heart Association’s BLS certification for Healthcare Providers required upon hire. RWHS offers Relocation and Sign-On Bonuses as well as Loan Forgiveness Programs. We look forward to speaking with you.
Regional West Physicians Clinic has over 28 specialty clinics to assist in the needs of the communities we call home. We are actively looking for a caring individual to join the team as a Certified Nurse Midwife in our Women's Center. As an RWPC Nurse Midwife, you will: Assess patient health by interviewing patients, performing medical examinations and studying medical histories Identify short term and long term patient care issues to be addressed Determine abnormal conditions by administering or ordering diagnostic tests and interpreting results Provide continuity of care by developing and implementing patient management plans Prescribe medications within scope of practice as needed You may be a good fit if you have: Graduated from an accredited midwife program Passed national certification Licensure as a midwife in the State of Nebraska If this sounds like you, we’d love to connect! A conditional job offer is contingent upon successfully passing a pre-employment drug test and background checks. A Physical Capacity Profile may be required for some positions.
