Collaborates with the coordinators and nurses to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed crit Authorization, Pharmacist, Healthcare, Remote, Cl...
Triages and prioritizes cases to meet required turn-around times. Requires at least 5 years of prior relevant experience. Prior Authorization experience preferred. ...
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 Utilization Management Prior Authorization team processes accurate and timely prior authorization of designated healthcare services, continuity of care, and access to care clinical review determinations. Successful RN candidate reviews prior auth requests for medical necessity, coding accuracy a...
Reimbursement and Prior Authorization Specialist located in Spring, Texas. You have experience working with a broad range of payers and have experience coordinating with insurance providers, physicians, and patients to obtain prior authorizations. ...
The Prior Authorization Specialist is responsible for reviewing prior authorization requests while following established guidelines. Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The prima...
Prior Authorizations and UM: Experience at a healthplan or with processing medication prior authorizations. As a full time hybrid Prior Authorization Pharmacy Technician at the Cedars-Sinai Medical Network Foundation, you will assist in supporting the Cedars-Sinai Medical Network pharmacists in the ...
Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Performs and handles inbound and outbound phone calls with coordinators, nurse, physicians, healthcare providers, and/or patients to facilitate prior authorization requ...
Reimbursement and Prior Authorization Specialist located in Spring, Texas. You have experience working with a broad range of payers and have experience coordinating with insurance providers, physicians, and patients to obtain prior authorizations. ...
Vetted Health is actively hiring Travel Registered Nurses (RNs) for 13-week assignments across the United States. Minimum 1 year of Registered Nursing experience required. ...
Registered Nurse - RN - ICU (Intensive Care Unit). Registered Nurse - RN - ICU (Intensive Care Unit). ...
Registered Nurse - RN - ER (Emergency Room). Registered Nurse - RN - ER (Emergency Room). ...
Are you a skilled Inpatient Staff Pharmacist seeking your next adventure? Look no further than Torrance, CA, where a regional medical center eagerly awaits your expertise. Join a thriving regional medical center as an Inpatient Staff Pharmacist. ...
Soliant is seeking a qualified staff pharmacist for respectedmedical center. ...
TravelNurseSource is working with Coast Medical Service to find a qualified Cath Lab RN in Inglewood, California, 90301!. Travel nurses can bring fresh perspectives to healthcare facilities, contributing ideas and insights that may lead to improvements in patient care, safety, and overall healthcare...
Stability Healthcare is seeking an experienced Cath Lab Registered Nurse for an exciting Travel Nursing job in Lynwood, 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 HealthCare is a premi...
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...
Epic Travel Staffing is seeking an experienced Pediatric Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Long Beach, CA. Our exclusive job openings can only be found through Epic Travel Staffing, where we specialize in providing staffing solutions for Nurse, Allied, and In...
KPG Healthcare Nursing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Travel ICU Registered Nurse - $2,179 per week in taxable pay and non-taxable stipend amount. KPG Healthcare is currently seeking an experienced Intensive Care ...
Registered Nurse to teach the home health aid program for CNAs. Must have 2 years experience as a Registered Nurse (RN). RN will be included in the initial application for the home health nurse aid, and will proceed to teach after the program is approved by the Dept. ...
CAP seeks a Senior Claims Specialist, for its Orange County office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Participates in the continued training and supervision of Claims Specialist I and II’s. Manage medic...
As a Customer Service Representative, you'll play a pivotal role in our fast-paced environment by building connections with our diverse customer base, ensuring seamless transactions and exceptional in-store experiences. At Speedy Cash, we're more than a financial service provider; we're a trusted al...
This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. Sufficient education to obtain a valid California RN license. Current valid California RN license. MarinHealth is already realizing the benefits of impressive gro...
This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. Sufficient education to obtain a valid California RN license. Current valid California RN license. MarinHealth is already realizing the benefits of impressive gro...
Position Summary of the Customer Service Representative:. The Customer Service Representative will also be responsible for helping families in person directly so we can better understand their needs. Our company needs to fill several positions within our Customer Service Division. The position requi...