- Ellis Medicine (Schenectady, NY)
- …team updated on progress or changes in the discharge plan. + Assists Case Manager with medication prior authorizations. + Provides Medicare Important Message to ... is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge...discharge planning documents are provided to post-acute care facilities prior to patient return (ie. NYS Department of Health… more
- L3Harris (Rochester, NY)
- …can work under general supervision from the Information System Security Manager (ISSM). Works closely with applicable Information System Owner(s), information ... of Evidence (BOE) artifacts in support of Assessment & Authorization (A&A) of assigned systems in accordance with Risk...Qualifications: . Bachelor's Degree and minimum 4 years of prior relevant experience. Graduate Degree and a minimum of… more
- Mount Sinai Health System (New York, NY)
- …exclusive and may not be performed by the same employee._ 8.Facilitates prior authorization and appointment scheduling for diagnostic testing requested by ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and… more
- Stony Brook University (Stony Brook, NY)
- …patient visits, treatments and procedures, discharges, under the direction of the Senior Manager of Operations. **Duties of the Staff Assistant I - Cancer Center may ... instructions for their ordered test(s); advise patients on the need for authorization /pre-certification; copies scripts that are given to patients. + Performs end of… more
- SMX (Albany, NY)
- …projects. They are members of the program management team and work with the Finance Manager and the Program Manager in meeting the overall contract goals and ... and funding planning, reporting, monitoring and analysis support to the Project Manager . This includes Work Breakdown Structures (WBS), Basis of Estimates (BOEs) and… more
- Nuvance Health (Poughkeepsie, NY)
- …required 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...additional/unusual assignments as requested by team members and/or office manager to insure quality patient care and timely delivery… more
- YAI (Manhattan, NY)
- …to secure approvals or letters of medical necessity to support requests for prior authorization of medication requests, submitting documentation on behalf of ... saving, uploading and/or entering notes relating to requests, follow-ups and/or prior authorization approvals for prescription medications in accordance with… more
- Independent Health (Buffalo, NY)
- …a pharmacy advocate. This position will also assist with the entry of prior authorizations and other projects and assignments to support the pharmacy department. ... written correspondence in a timely fashion, with minimal supervision by a manager . Ensure that providers are obtaining accurate and up-to-date information on… more
- YAI (Manhattan, NY)
- …associated documentation (eg, prescription fax forms). Update EHR accordingly. + Obtain Prior Authorization for non-covered medications or feeding supplies for ... Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet...are checked, and computers are logged on and working prior to patient visit. If any issues report to… more
- Molina Healthcare (Syracuse, NY)
- …pharmacy/health plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization ... staff, medical affairs staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug utilization and identify… more
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