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
Champion Care is an Equal Opportunity Employer (EOE). We are committed to creating an inclusive environment for all employees and applicants and do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status.
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