- Excellus BlueCross BlueShield (Rochester, NY)
- …standard protocols. Essential Accountabilities: Level I + Conducts an initial level medication prior - authorization , exception and medical necessity reviews ... D to determine what type of prior authorization review is required, documents any relevant medication...Management Department. + Functions as a backup to the supervisor for testing and implementation of system upgrades. +… more
- University of Rochester (Rochester, NY)
- …in medication dispensing. **ESSENTIAL FUNCTIONS** **_Clinical Staff Pharmacist - Medication Authorization and Distribution_** + Directs and supervises the ... PURPOSE Using clinical judgment and available resources, develops and oversees medication management procedures and strategies to ensure safe and compliant… more
- YAI (Brooklyn, NY)
- …associated documentation (eg, prescription fax forms). Update EHR accordingly. + Obtain Prior Authorization for non-covered medications or feeding supplies for ... Responsibilities: + Report to the nurse manager or nurse supervisor , at Premier HealthCare (PHC). Meet on a weekly...are checked, and computers are logged on and working prior to patient visit. If any issues report to… more
- Mount Sinai Health System (Greenlawn, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... an understanding of when to escalate calls to a supervisor . + Answers the telephone promptly and in a...assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services,… more
- Bassett Healthcare (Norwich, NY)
- …learning to the team and is a go to person for coworkers. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... and actions. Will meet patient needs as observed by Supervisor and as reported on patient satisfaction surveys. +...and form processing to meet Medicare regulations. + Obtains prior approval or prior authorization … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …division. + Serves as the primary contact for providers regarding authorization , information requests, claim inquiries and benefits. Provides triage assistance to ... and assists in handling member and provider correspondence related to authorization detail, disease conditions and/or care management program services. Assures… more
- University of Rochester (Rochester, NY)
- …greater than for pharmacists who work in other areas of the department. ** Medication Authorization and Distribution:** + Understands and follows departmental and ... state and federal laws and regulations for Pharmacy practice. Answers medication related questions from patients and providers, and provides patient counseling… more
- Nuvance Health (Carmel, NY)
- …preparation and communicate with nursing staff regarding medication instructions prior to procedure. 11. Initiate pre- authorization for all procedures and ... testing. Follow up to insure authorization is obtained prior to scheduled procedure...efficiency in performance of job duties as observed by Supervisor . 23. Assists or accepts additional/unusual assignments as requested… more
- Mount Sinai Health System (Greenlawn, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... an understanding of when to escalate calls to a supervisor . + Answers the telephone promptly and in a...assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services,… more
- Saratoga Hospital (Saratoga Springs, NY)
- …clinical expertise to complete tasks such as (and not limited to): + Review medication electronic prior authorizations and other prior authorizations. + ... the Patient Engagement Center to assist the Pre-Service Specialists and Referral- Authorization Specialists with patient clinical questions and triaging patient calls… more