Prior authorization jobs in Redlands, CA

The role of the Case Manager, Prior Authorization LVN is to promote the quality and cost effectiveness.. The Case Manager, Prior Authorization LVN will review for appropriate care and setting, and following..

Skills. Utilization review, prior authorization, Care management, Case management, interqual, ncqa, ncqa.. Utilization review,prior authorization,Care management Additional Skills & Qualifications. California RN..

Job DescriptionAs a Reimbursement and Prior Authorization Specialist located in Spring, Texas you play an important role in the overall success of the company. Working with our billing tool..

Oversees discharge process for a select group of patients and delegates specific tasks to within scope of practice to Discharge assistant.Skills Utilization review, prior authorization, Care..

Assist in obtaining prior authorizations from insurance plans and coordination with pharmacies. Assist.. Experience at a healthplan or with processing medication prior authorizationsMed Purchasing Pyxis..

WHAT YOU'LL BE RESPONSIBLE FOREnsure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally..

Years) in the Certification Exam group as an Authorization Training Supervisor (ATS) or Manager (or equivalent) at any site.Must have previous experience working directly for the CNSC..