A company is looking for a Pharmacist - Prior Authorization to perform clinical reviews and support pharmacy initiatives remotely. D degreeStrong clinical and technical knowledge baseExperience in prior authorization processesAbility to develop and maintain training documents for staff development. ...
Job SummaryCalOptima Health is seeking a highly motivated an experienced Temp-Medical Authorization Assistant (UM Prior Auth) (2) to join our team. The Medical Authorization Assistant (Prior Authorization) will provide office and referral management services and serve as a contact between members, p...
A company is looking for a Prior Authorization & Medical Claims Specialist in Jacksonville, FL. ...
Our client is currently seeking a Medical Authorization Assistant-Prior Auth in Orange County, CA! . ...
Key Responsibilities:Direct Prior Authorizations management and staff for accurate submission of claims and timely collectionsAnalyze reimbursement rates, manage accounts receivable, and ensure cash collections optimizationLead a high-performance team, collaborate with various departments, and parti...
For this position we are seeking a LVN (Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and it...
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...
Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile. Our company is continuing to grow and we're looking to add a Prior Authorization Specialist to support our patient care operations depart...
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. ...
Title: Medical Case Manager – Prior Auth, LVN. The incumbent will be responsible for prior authorization and referral related processes, which includes on-line responsibilities as well as selecting off-line tasks. Assists the team in carrying out department responsibilities and collaborates with oth...
Processing, Prior Authorization, Customer Service. Processing, Prior Authorization, Customer Service Job Responsibilities:. Pharmacy Technician - Prior Authorization Job Requirements:. ...
LVN Prior Authorization Nurse / Case Manager. LVN Prior Authorization Nurse / Case Manager. Daily Responsibilities for LVN Prior Authorization Nurse / Case Manager:. Screen requests for the Medical Director review, gathers pertinent medical information prior to submission to the Medical Director; fo...
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Registered Nurse - Neonatal Intensive Care Unit. TRS Healthcare is seeking a Registered Nurse who is licensed to work in CA, and has Neonatal Intensive Care Unit experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goal...
But the one thing nurse after nurse has said they want and don't have is someone in their corner. We've talked to thousands of travel nurses like you. You and every nurse with the guts to travel deserve it. ...
Titan Medical is looking for travelers to fill a Travel NICU position for a 15 week assignment in Orange, CA! Call Titan for additional details....
Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Garden Grove, CA. Registered Nurse - Intensive Care Unit. Intensive Care Unit Registered Nurse travel assignment. Client in Garden Grove, CA is looking for a Intensive Care Un...
Ventura MedStaff is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
Fusion Medical Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Fountain Valley, CA. Registered Nurse - Intensive Care Unit. Intensive Care Unit Registered Nurse travel assignment. Client in Fountain Valley, CA is looking for a Intensive C...
NeoGenCare is seeking a Registered Nurse (RN) Home Health for a nursing job in Paramount, California. Current and unrestricted California Registered Nurse license. Neogen Care is a will established Home Health Care agency with patients throughout the California Bay Area, Greater Los Angeles, Orange,...
Grounded by our belief that outstanding care is best delivered in a team-based environment, our weekend home health registered nurses lead and collaborate to provide management and delivery of patient care plans. We are looking for compassionate nurses with:. ...
Key Responsibilities:Monitor and review prior authorization requests for medicationsDevelop clinical criteria and medical policies for the review of medicationsReview monthly reports and provide feedback on trends and ideas for efficiencyRequired Qualifications:Pharmacy degree from an accredited sch...
Key Responsibilities:Direct Prior Authorizations management and staff for accurate submission of claims and timely collectionsAnalyze reimbursement rates, manage accounts receivable, and ensure cash collections optimizationLead a high-performance team, collaborate with various departments, and parti...
Key Responsibilities:Support authorization requests for services based on insurance prior authorization listPerform data entry to update authorization requests in the utilization management systemAssist in tracking and documenting authorizations and referrals according to policies and guidelinesRequ...
A company is looking for a Front Pharmacy Technician - Remote in Illinois or Iowa. ...