SNF Authorization Specialist

Resolve MCN is a small, growing company that provides prior authorizations and concurrent review support for skilled nursing facilities (SNFs). Resolve focuses on identifying opportunities for higher reimbursement, extending length of stay when appropriate, and preventing authorization issues that impact revenue.

At Resolve, high-quality, personalized service is a core value. We foster a supportive culture where our employees are valued and empowered, because we know that when our team thrives, our clients do too.

This is a full-time, remote role, supporting SNF clients with day-to-day authorization tasks. The Case Manager will obtain prior authorizations, submit concurrent reviews, extend length of stay, and coordinate appeals.

Responsibilities include collaborating with interdisciplinary facility teams, communicating with managed care plans to secure and maintain approvals. The role requires regular interaction with facility staff and payers to deliver consistent, high-quality service tailored to each client’s needs. An ideal candidat is fast-paced and detail-oriented. Multi-tasking and prioritizing will be needed as well as strong communication skills.

Salary Range: $55,000 - $65,000

Hours:

9:00 AM - 5:00 PM EST

• Strong case management and care coordination skills, with experience in skilled nursing facilities or similar post-acute settings.
• Knowledge of managed care processes, including authorizations, reimbursement, and payer portals.
• Ability to review and interpret clinical documentation to support coverage decisions and appropriate level of care.
• Organizational and time management abilities to handle multiple cases, track census, and meet deadlines in a fast-paced environment.
• Proficiency with electronic health records (EHRs), payer portals, and office software (e.g., Microsoft Outlook, Excel, Teams).
• Prior experience in SNF or hospital authorizations and/or concurrent reviews
• Stable internet connection & a home office setup