Director of Insurance Authorization

Champion Care - 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 DoAs 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 locationsEnsure timely completion of insurance authorizations, updates, and appeals across Medicare, Medicaid, and commercial plansOversee daily workflows, including admissions, re-admissions, and discharge trackingMonitor payer portals and address insurance concerns, denials, and documentation gapsConduct daily team check-ins to prioritize work, remove barriers, and drive accountabilitySupport case managers directly on complex or high-priority casesPartner with facility leadership and back-office teams to ensure accurate billing and reimbursementParticipate in weekly and monthly authorization and Medicare meetingsDevelop and deliver training on NOMNCs, ABNs, and managed care processesStay current on insurance regulations and ensure team complianceLead hiring, onboarding, and performance evaluations for case management staffWhat We're Looking ForRN or LPN license highly preferredExperience in insurance authorization, case management, or utilization review within SNF or post-acute careStrong knowledge of Medicare, Medicaid, and managed care processesProven leadership experience managing teams in a healthcare settingAbility to oversee multiple facilities, priorities, and deadlinesStrong communication and problem-solving skillsHighly organized with a focus on execution and accountabilityWhy Join UsHigh-impact leadership role tied directly to revenue, census, and clinical outcomesOpportunity to build, lead, and scale a high-performing teamGrowth within a multi-facility healthcare organizationCollaborative and fast-paced environmentChampion 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.INDMGMT