A company is looking for a Prior Authorization Rules Analyst. ...
When necessary, act as liaison between the prior auth coordinators, prior auth nurses, and medical directors. The Denial Nurse is responsible for processing denial letters for all affiliated groups, interpret denial language provided by the prior authorization nurse, coordinators, and medical direct...
A company is looking for a Prior Authorization Representative. ...
When necessary, act as liaison between the prior auth coordinators, prior auth nurses, and medical directors. The Denial Nurse is responsible for processing denial letters for all affiliated groups, interpret denial language provided by the prior authorization nurse, coordinators, and medical direct...
A company is looking for a Prior Authorization Nurse Reviewer. ...
Minimum of 3 years prior teaching/tutoring experience in the ISEE (Lower, Middle, Upper Levels), SAT and ACT. ...
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. ...
The Denial Nurse is responsible for processing denial letters for all affiliated groups, interpret denial language provided by the prior authorization nurse, coordinators, and medical directors, and place it into the appropriate templates while translating medical terminology into lay language and g...
Pharmacy Technician - Prior Authorization, Processing, Filling. ...
We are currently seeking qualified candidates for RN.Day 1 Medical, Health, Dental, Vision....
A company is looking for a Remote Customer Service Representative. Key Responsibilities:Provide prompt and considerate service to all customersEnsure accurate and timely completion of all requests and data entryMaintain performance levels to specified goalsRequired Qualifications:High School Diploma...
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...
Key Responsibilities:Review patient information and make approval recommendations based on clinical criteriaConduct Program Integrity Audits and assist with documentation and implementation of communications to physiciansDetermine eligibility for medication reimbursement and escalate medical excepti...
A company is looking for a UM Administration Coordinator Prior Authorizations. ...
A company is looking for a Clinical Pharmacist. ...
A company is looking for a Clinical Pharmacist. Key Responsibilities:Utilize data science, machine learning, AI, and clinical expertise to manage medication therapiesDevelop personalized care plans for patients and their care teamsDeliver recommendations and interventions to improve patient health o...
Key Responsibilities:Evaluate and review Appeals requests, render coverage determinations, and communicate decisions promptlyCollaborate with team members to process referrals and handle inbound/outbound callsMaintain professional knowledge of drug and disease states for Specialty and Non-Specialty ...
Registered Healthcare LLC is seeking a travel nurse RN Home Health for a travel nursing job in Torrance, California. ...
Discipline Registered Nurse (RN). Discipline: Registered Nurse (RN). ...
As a key team member in the clinical area, the Registered Nurse promotes a climate of effective performance and learning through role modeling, willingness to learn and teach, and availability to patients and staff including but not limited to:. Full Time and Part Time Registered Nurse Opportunities...
Registered Nurse (RN) Requirements. Primary Registered Nurse (RN) Responsibilities. We are seeking to hire Registered Nurses to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience! Wh...
We are seeking a Registered Nurse-Labor and Delivery for a travel assignment in Los Angeles California. ...
Lead Customer Service Representative. The Customer Service Representative will be the first point of contact for our students, faculty, staff, parents, and guests. Provide customer service to students, faculty, staff, and external customers. May act as representative for department at internal commi...
The Pharmacists at Mission Community Hospital is responsible for providing optimal pharmaceutical care through accurate and efficient dispensing, assuring compliance with all state and federal regulation, laws, and standards. The Pharmacist PD plays a key role in providing direction and insight in d...
Customer Service Representative PLS Financial Services, Inc. Customer Service Representative PH Financial Services, LLC Los Angeles, CA 90189 posted 12/30/2021 More. Customer Service Representative - Santa Anita Nordstrom Arcadia, CA 91007 posted 12/29/2021 More. Customer Service Representative - Ir...