- Charles B. Wang Community Health Center (Queens, NY)
- …+ Demonstrate curiosity and understanding of patient registration, administrative workflows and prior authorization processes + Collaborate with the care team to ... Full-Time Medical Assistant Reports To: Head Nurse Queens/Manhattan, New York United States Responsibilities : + Direct patient care and support + Perform… more
- Molina Healthcare (Syracuse, NY)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
- Guthrie (Corning, NY)
- …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization * *Collect necessary documentation and submit it to the ... in basket monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years' experience in nursing,… more
- Ellis Medicine (Schenectady, NY)
- …work staff to ensure smooth care transition + Coordinate arrangement of durable medical equipment with vendor authorization as needed. + Participate in internal ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...and final discharge plans. + Assists with ordering durable medical equipment. + Meets with patient, family and/or designee… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...: Current NYS RN. A Bachelor's degree or a nurse working on their degree with an RN license… more
- Molina Healthcare (Albany, NY)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Oak Orchard Health (Warsaw, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... knowing that your work is making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and… more
- YMCA of Central New York (Manlius, NY)
- …First Aid Director is responsible for the primary implementation of the camp's medical plan including proper authorization and distribution of medication, daily ... Health Department within 24 hours. + Reviewing all campers' medical history prior to arrival at camp...Certifications: + Must possess one of the following: Physician, Nurse Practitioner, Physician Assistant, Registered Nurse , Licensed… more
- Oak Orchard Health (Steuben County, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... The LPN will work as a member of the Clinical Care Team, assisting medical providers in direct patient care and maintaining processes that result in efficient, high… more
- Arnot Health (Elmira, NY)
- …Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues, ... on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/ prior auth) will review and appeal as appropriate for concurrent and retrospective… more