- Molina Healthcare (Albany, NY)
- …this family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns ... and comply with CMS guidelines. These staff may also be involved in providing utilization management/ prior authorization services as needed. * Supervises the… more
- Mohawk Valley Health System (Utica, NY)
- …SNH is responsible for the oversight of the case management staff's authorization /coordination/ utilization and provision of member services. Duties include the ... RN Supervisor Case Management - Full Time - Days...direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... to cover various locations within our system, as directed by your supervisor . Knowledge, skills and competencies: Typing skills required to operate computer. Must… more
- Catholic Health Services (Roslyn, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... substance records. Immediately reports unresolved controlled discrepancies to a supervisor . Optimizes workflow by efficiently and accurately completing job duties… more
- University of Rochester (Rochester, NY)
- …contact with families regarding scheduling and pre-procedural testing. + Coordinates obtaining prior authorization from payors for procedures, as required. + ... or approve requisition of equipment and supplies, encourages proper utilization of same to avoid waste. + Implements and...URMC and JCAHO standards + Performs duties of a supervisor or a clinical technologist as needed. + Communicates… more
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