- Insight Global (Riverside, CA)
- …(must have CA state licensure) - Experience dispensing medications - Full-cycle prior authorization experience - Specialty clinic experience - Oncology clinic ... medication ordering, labeling and ensuring proper verification is complete - Complete prior authorizations - Source financial assistance on behalf of patients -… more
- Sharp HealthCare (San Diego, CA)
- …profile/EHR and other records as appropriate.Complete UM reviews for medication prior authorization referrals in accordance with appropriate criteria (eg ... problems, assessment of medication adherence barriers, medical necessity, drug prior authorizations, and other related activities.Develops patient centered pharmaceutical… more
- Sutter Health (Oakland, CA)
- …other staff to the department. **Job Description** : **Key Responsibilities:** + ** Prior Authorization :** Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. + **Financial Assistance:** Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. + **Accreditation &… more
- Sutter Health (Berkeley, CA)
- …build confidence in their skills, knowledge and abilities. **Key Responsibilities** : + ** Prior Authorization ** : Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. + **Financial Assistance** : Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. + **Accreditation &… more
- TEKsystems (Los Angeles, CA)
- …Skills That Set You Apart: + Appointment Scheduling + Insurance Verification & Prior Authorization + Patient Records & Registration + Medical Records Management ... Schedule appointments and verify insurance details (including HMO plans) + Process prior authorizations and manage patient records + Assist with patient registration… more
- Sutter Health (Oakland, CA)
- …other staff to the department. **Job Description** : **Key Responsibilities:** + ** Prior Authorization :** Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. + **Financial Assistance:** Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. + **Accreditation &… more
- Molina Healthcare (Los Angeles, CA)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... **Preferred Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual /… more
- Magellan Health Services (San Diego, CA)
- …plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity ... social, and community resources. + Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and… more
- Vitesse Systems (Newark, CA)
- …not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is ... involving a few concrete variables in standardized situations. CERTIFICATES, LICENSES, REGISTRATIONS: Authorization to work in the United States. To conform to US… more
- Vitesse Systems (Newark, CA)
- …not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is ... involving a few concrete variables in standardized situations. CERTIFICATES, LICENSES, REGISTRATIONS: Authorization to work in the United States. To conform to US… more
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