- Molina Healthcare (Madison, WI)
- …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
- Molina Healthcare (Milwaukee, WI)
- …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
- Mayo Clinic (La Crosse, WI)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Eau Claire, WI)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Humana (Madison, WI)
- …a team **Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, and/or utilization management in healthcare, health ... state registered nurse license + Minimum three, (3), years of Medical Surgery, Heart, Lung, maternity/obstetrics, or Critical Care Nursing experience required + … more
- Marshfield Clinic (Marshfield, WI)
- …medication support to patients, including medication refill requests, automatic refills, and prior authorization requests, as ordered or directed by provider ... exciting missions in the world!** **Job Title:** Prescription Refill Nurse - Med-Peds/Family Medicine **Cost Center:** 301351172 Mfld-Med-Peds **Scheduled Weekly… more
- Mayo Clinic (La Crosse, WI)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- CVS Health (Madison, WI)
- …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Mayo Clinic (Sparta, WI)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Eau Claire, WI)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more