Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
At Cloud Rx, the Prior Authorization Specialist plays a vital role in the healthcare system by facilitating the prior authorization process for prescription medications. Additionally, the Prior Authorization Specialist is accountable for managing clinic chats to address any queries or concerns relat...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. ...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Prior Authorization Case Managers (PACMs) collaborate) to ensure that authorization needs are met within an acceptable timeframe. Reviews clinical documentation and determines completeness of clinical notes and prior workup documentation. Coordinates with territory case manager to fill gaps in clini...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Prioritize the security of your future with comprehensive life insurance coverage. Benefit from health insurance reimbursement, ensuring your well-being remains a top priority. Together, let’s protect every child and serve all working people! Please note that AO has adjusted its business opera...
Globe Life has been one of the largest benefits providers for unions, associations and veterans across the United States since 1924.After a record breaking year for our agency in 2021 with 20% growth ($63 million increased sales), we are seeking disciplined and driven candidates to fulfill sales and...
Prior Authorization Specialist - onsite only. Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. Will consider additional clinical license...
Multitaskers: Ability to prioritize and handle multiple tasks efficiently. ...
Medication Prior Authorization Coordinator. Develops and directs implementation of standards, processes and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities within the Centralized Medication Prior Authorization Department. At least 5 years Extensive Knowledge o...
Children's Health (Dallas) is seeking a Registered Nurse (RN) Clinic Manager, OR - Operating Room for a nursing job in Dallas, Texas. Operating Room Clinical Manager Registered Nurse. Advocates for the patient, represents the concerns of the patient / family and identifies and assists in resolving e...
Host Healthcare is seeking an experienced Neonatal Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Dallas, TX. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...
Host Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Lewisville, TX. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...
Atlas MedStaff is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Plano, TX. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that work with our team. If you don’t have this kind of rel...
Children's Health (Dallas) is seeking a Registered Nurse (RN) Resource for a nursing job in Plano, Texas. Psychiatric Resource Registered Nurse. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring tha...
Children's Health (Dallas) is seeking a Registered Nurse (RN) Float for a nursing job in Dallas, Texas. Job Title & Specialty Area: Variable Staffing - Registered Nurse Pool. Independently performs the functions of a registered nurse in direct patient care. This job is intended for Registered Nurse ...
Baylor Scott & White Health is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in Irving, Texas. The Operating Room (OR) Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care...
A Registered Nurse (RN) with > 2 years of experience. Provides care for assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must be able to demonstrate the abilit...
The position is for full time with early expectations to get the pharmacy licensed and to obtain pharmacist licenses (as required for nonresident pharmacy licenses) as fast as possible in multiple states. An actively licensed pharmacist in the state of Texas with no reprimands on their license in Te...
Claims Compliance and Audit Specialist. Partners with key stakeholders to improve compliance with state laws and measures adherence to internal claims procedures. Applicable claims, compliance, risk, and/or legal designations such as ARM, AIC, CRCMP, CLMP, ARC, CPCU, SCLA, or IRES designations desir...
The Claims Data Reporting Specialist is responsible for supporting the Claims organization by identifying opportunities to improve efficiency and effectiveness within specialized claims lines. Claims Data Reporting Specialist. Collaborates with Claims and Actuarial leadership teams to coordinate com...