A company is looking for a Manager, Prior Authorization in Remote Kentucky. ...
We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. The ideal candidate will have a strong background in pharmacy operations, prior authorization processes, and excellent communication skills. As a Prior Authorization Specialist, you will play a critical...
Key Responsibilities:Directly manage, coach, and mentor a team of prior authorization techniciansLead training and onboarding for all new team membersEnsure prior authorization turnaround times are metRequired Qualifications:5+ years of health plan or pharmacy benefit manager experience3-5+ years of...
PRIOR AUTHORIZATION SPECIALIST. This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Initiate, process, and overse...
A company is looking for a Prior Authorization Nurse Reviewer. ...
Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. The Rep I, Clinical Services will also assist with other duties as needed to inclu...
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Collaborate with healthcare providers, insurance companies, a...
The Prior Learning Assessment Specialist, a part of the Transfer Resource ream, coordinates the evaluation and validation of prior learning experiences for both new and continuing students. Review transfer students’ transcripts, portfolios, and prior learning documentation to assess for equivalencie...
The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. The Rep I, Clinical Services will also assist with other duties as needed to include...
Our Coverage Review Department (CRD) team seek dedicated, compassionate, and empathetic Prior Authorization Representatives to join our team. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the...
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Initiate, process, and oversee the clinical review of prior a...
TotalMed Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Jersey City, NJ. ...
FlexCare Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in New York, NY. FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied...
FlexCare Medical Staffing is seeking an experienced Endoscopy Registered Nurse for an exciting Travel Nursing job in New York, NY. FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allied...
Triage is seeking an experienced ENDO/GI LAB Registered Nurse for an exciting Travel Nursing job in New York, NY. ...
Cynet Health is seeking an experienced Oncology Registered Nurse for an exciting Travel Nursing job in New York, NY. ...
VNA Health Group is seeking a Registered Nurse (RN) Home Health for a nursing job in Glen Ridge, New Jersey. Our Continuing Education programs will keep you current, with learning and certifications to help you master your profession. Our online learning system will provide knowledge at your fingert...
VNA Health Group is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in Glen Ridge, New Jersey. The Registered Nurse will be responsible for providing direct or indirect skilled comprehensive nursing care to a specified (or variety) of age and diagnostic groups. Registered Nurse...
VNA Health Group is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in Passaic, New Jersey. The Registered Nurse will be responsible for providing direct or indirect skilled comprehensive nursing care to a specified (or variety) of age and diagnostic groups. The RN is a profess...
Are you looking for your next travel assignment or to kick off your traveler career? Voca offers a full benefits package, a high level of individualized support, and a strong, traveler-first culture....
Soliant Health is thrilled to collaborate with one of our longstanding clientin New Jersey and is currently in search of a skilled Inpatient/Clinical Pharmacist for a 13-week travel contract. ...
Valid Registered Nurse (RN) License, Certified School Nurse (CSN) or Credentials in your State of Residence or Employment. Onsite School Registered Nurse. ...
Upholds clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Medical Dept, and Clinical Dept and provides pharmacy expertise within the organization...
Upholds clinical integrity of pharmaceutical solutions by staying up to date on medication information, contributing to the identification of pharmacy program best practices, collaborating with Medical Directors, Medical Dept, and Clinical Dept and provides pharmacy expertise within the organization...
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...