- Highmark Health (Wexford, PA)
- …a 1-year commitment This position supports the network centralized prior authorization department. Coordinates and administers the effective and efficient processing ... of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits are administered in accordance with all regulatory agency requirements… more
- Trinity Health (Springfield, PA)
- …Degree preferred + 2-3 years home care, hospice, discharge planning, or case management experience preferred + Working knowledge of governmental reimbursement ... Position:** The RSS role will support the Home Care Coordinator (hospital- based liaison) with referral entry and referral...role is also responsible for the insurance verification and authorization for certain payers. **Must be available to work… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Admission coordinator or designee + Is responsible for collaborating with case management and Discharge Support Center in securing timely authorization ... + In collaboration with Admission's Manager and Community Liaisons provides education to referral sources at least annually regarding admission criteria and program overview + Is timely and accurate maintaining and completing the referral log + Offer… more