A company is looking for a Prior Authorization & Medical Claims Specialist in Jacksonville, FL. ...
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. ...
Key Responsibilities:Review and complete prior authorization criteria based on policy and procedureAnswer phone calls, work on client exceptions, and maintain accurate documentationAttend training meetings and update desk reference materialsRequired Qualifications:PBM - Prior Authorization experienc...
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...
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...
We are currently seeking qualified candidates for RN.Shift 3 - 12HR Nights, 19:00:00-07:00:00, 12.Day 1 Medical, Health, Dental, Vision....
Telemetry Registered Nurse travel assignment. Client in Inglewood, CA is looking for a Telemetry Registered Nurse to help them out for 13 weeks. One to three years experience as a Registered Nurse preferred. TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN i...
TravelNurseSource is working with AHS NurseStat to find a qualified ER/Trauma RN in Lynwood, California, 90262!. Founded in Edmond, Oklahoma, AHS NurseStat is one of the fastest-growing nurse staffing firms in the United States. At AHS NurseStat, we understand our nurse candidates’ concerns an...
Registered Nurse - Emergency Room. Emergency Room Registered Nurse travel assignment. Client in Inglewood, CA is looking for a Emergency Room Registered Nurse to help them out for 13 weeks. One to three years experience as a Registered Nurse preferred. ...
Uniti Med is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Inglewood, CA. ...
Stability Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!. Stability HealthC...
Medical Solutions is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Long Beach, CA. You’ve spun your compass and landed here! A facility in Long Beach, CA, is currently hiring a RN (Registered Nurse) to work in Med Surg (Medical Surgical). Nurses and a...
TRS Healthcare is seeking an experienced Oncology Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. TRS Healthcare is seeking a Registered Nurse that is licensed in CA to work in the specialty area of Oncology. The Registered Nurse assumes responsibility and accountability for ...
KPG Healthcare Nursing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Travel L&D Registered Nurse - $2,857 per week in taxable pay and non-taxable stipend amount. KPG Healthcare is currently seeking an experienced L&D (Lab...
NationWide Therapy Group is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Lynwood, CA. ...
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,...
Clinical Pharmacist opportunity at teaching hospital in LA's South Bay. ...
A company is looking for a Senior Clinical Pharmacist to define and develop formularies for complex medications. Current state's Pharmacist license with no restrictionsMay require additional state licensure based on business needs. ...
A company is looking for a UM Administration Coordinator Prior Authorizations. ...
A company is looking for a Prior Authorization Nurse Analyst (RN) - REMOTE. ...
A company is looking for a Pre-Authorization Specialist (Remote) to handle clinician and patient billing inquiries. ...
A company is looking for a Prior Authorization Pharmacy Technician (Seasonal). ...
A company is looking for an Authorization Specialist III to support the prior authorization request process in the utilization management team. ...
A company is looking for a Clinical Formulary Pharmacist. Key Responsibilities:Ensure maintenance of cost-effective formularies across multiple statesLead formulary operations, collaborate with cross-functional areas, and respond to audits and surveys related to formulary functionsAnalyze dashboards...