A company is looking for an Intake Specialist - Prior Authorizations. ...
Collaborates with the coordinators and nurses to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed crit Authorization, Pharmacist, Healthcare, Remote, Cl...
A company is looking for a Prior Authorization Specialist to manage patient payment options and insurance benefits. ...
The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center will be responsible for supporting clinical evaluation and prior authorization, preventing denials, providing patient advocacy and assistance, and evaluating payer (insurance) drug criteria usag...
A company is looking for a Prior Authorization Medical Clinician to evaluate and approve requested services based on medical necessity criteria. ...
Pharmacy Technician - Processing, Filling, Prior Authorization. Pharmacy Technician - Processing, Filling, Prior Authorization . Pharmacy Technician - Processing, Filling, Prior Authorization Responsibilities:. Pharmacy Technician - Processing, Filling, Prior Authorization Job Requirements:. ...
Urgent Hire! - Prior Authorization Specialist in Northridge, CA:. They will be responsible for coordinating with the Eligibility Team, Case Managers, and Prior Auth Nurses to process emergency Authorizations. Prior authorization experience. ...
You will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the use of various business applications to perform analysis, obtain information, and enter prior authorization data necess...
The Utilization Management Prior Authorization team processes accurate and timely prior authorization of designated healthcare services, continuity of care, and access to care clinical review determinations. Successful RN candidates review prior auth requests for medical necessity, coding accuracy, ...
Prior Authorizations and UM: Experience at a healthplan or with processing medication prior authorizations. As a full time hybrid Prior Authorization Pharmacy Technician at the Cedars-Sinai Medical Network Foundation, you will assist in supporting the Cedars-Sinai Medical Network pharmacists in the ...
Triages and prioritizes cases to meet required turn-around times. Requires at least 5 years of prior relevant experience. Prior Authorization experience preferred. ...
Reimbursement and Prior Authorization Specialist located in Spring, Texas. You have experience working with a broad range of payers and have experience coordinating with insurance providers, physicians, and patients to obtain prior authorizations. ...
The Prior Authorization Specialist is responsible for reviewing prior authorization requests while following established guidelines. Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The prima...
Pharmacy Technician - Processing, Filling, Prior Authorization. Pharmacy Technician - Processing, Filling, Prior Authorization . Pharmacy Technician - Processing, Filling, Prior Authorization Responsibilities:. Pharmacy Technician - Processing, Filling, Prior Authorization Job Requirements:. ...
Minimum of 3 years prior teaching/tutoring experience in the ISEE (Lower, Middle, Upper Levels), SAT and ACT. ...
Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally recognized and evidence-based standards. ...
Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Performs and handles inbound and outbound phone calls with coordinators, nurse, physicians, healthcare providers, and/or patients to facilitate prior authorization requ...
Reimbursement and Prior Authorization Specialist located in Spring, Texas. You have experience working with a broad range of payers and have experience coordinating with insurance providers, physicians, and patients to obtain prior authorizations. ...
The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center will be responsible for supporting clinical evaluation and prior authorization, preventing denials, providing patient advocacy and assistance, and evaluating payer (insurance) drug criteria usag...
Registered Nurse - RN - TE:E (Telemetry). Registered Nurse - RN - TE:E (Telemetry). CAREERSTAFF BENEFITS FOR THE RN:. ...
Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Los Angeles, California. Registered Nurse License (California). Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA,...
Kaiser Permanente is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care for a nursing job in Los Angeles, California. The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:. ...
Registered Nurse - RN - TE:E (Telemetry). Registered Nurse - RN - TE:E (Telemetry). ...
Registered Nurse - OR - Operating Room. TRS Healthcare is seeking a Registered Nurse who is licensed to work in CA, and has OR - Operating Room experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of the organizat...
Registered Nurse - Cardiovascular Intensive Care Unit. Cardiovascular Intensive Care Unit Registered Nurse travel assignment. Client in Monterey, CA is looking for a Cardiovascular Intensive Care Unit Registered Nurse to help them out for 13 weeks. One to three years experience as a Registered Nurse...