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Prepare examples of reducing auth turnaround, coaching staff through denials, partnering with clinicians on medical necessity notes, and balancing compliance with family access to care. Expect scenario questions on urgent home-care starts and incomplete documentation.
A strong fit has prior-authorization or utilization-management experience, people-leadership skill, and comfort in a pediatric, mission-driven hospital environment. Columbus on-site presence is expected (non-remote).
As Homecare Prior Authorization Supervisor at Nationwide Children’s, you would lead staff who obtain and track authorizations for home-based pediatric care. Expect queue triage, payer follow-up, exception handling, coaching on documentation quality, and close work with clinical and billing partners so visits are not delayed by coverage gaps.
Prioritize payer rules for pediatric and home care, denial-prevention workflows, EMR/auth-tool fluency, team coaching, and clear escalation judgment. No certification list was provided for this listing.
The listing marks remote as no; the worksite is 255 E. Main St, Columbus, OH.
Authorization throughput, staff coaching, payer issues, and coordination so homecare services stay covered and scheduled.
No certification family or paid resources were supplied with this posting.
Website: nationwidechildrens.com
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Nationwidechildrens seeks a Homecare Prior Authorization Supervisor for its location at 255 E. Main St, Columbus, OH. This full-time role places you at the center of leading authorization activities that help patients access needed homecare support efficiently. Position Summary The Homecare Prior Authorization Supervisor directs day-to-day team operations that secure insurance approvals for home-based services. Working on site in Columbus, OH, the individual balances staff guidance, process oversight, and cross-functional coordination so that authorizations move forward without unnecessary delays. The position strengthens overall care access by keeping workflows reliable and compliant while supporting colleagues who handle detailed payer interactions. Core Duties Guide and coach a team of specialists who prepare, submit, and track prior authorization requests for homecare services. Review authorization pipelines daily, address bottlenecks, and adjust staffing focus to meet established turnaround goals. Partner with clinical colleagues and payers to clarify documentation needs and resolve outstanding denials or incomplete requests. Monitor volume, approval rates, and cycle times, then share clear performance updates with leadership. Deliver ongoing training on payer policy updates, system tools, and accurate documentation standards. Maintain organized records of authorization activity that support audits and continuous process refinement. Skills & Qualifications Prior supervisory experience leading authorization, utilization review, or similar healthcare access teams. Solid working knowledge of insurance verification steps, medical necessity criteria, and common homecare authorization pathways. Comfort directing work priorities, coaching staff, and holding people accountable for quality and productivity. Strong verbal and written communication skills for clear exchanges with team members, providers, and insurance contacts. Ability to use electronic health and authorization platforms, interpret data trends, and recommend practical improvements. Reliability in an on-site setting at 255 E. Main St, Columbus, OH together with solid organizational habits. Why Join Nationwidechildrens Nationwidechildrens is hiring for this Homecare Prior Authorization Supervisor role and offers a supportive team environment. Next Steps To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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