- UPMC (Williamsport, PA)
- …all levels of the continuum, and for providing any and all required pre -certification, continued stay and/or discharge reviews; service authorization , and care ... planning and aftercare planning for members. + Conducts all clinical reviews, service authorization and care coordination...degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only). Preference will… more
- City of Norfolk, Virginia (Norfolk, VA)
- … Clinical Psychologist (LCP) + Psychiatric Nurse Practitioner (PMHNP) or Psychiatric Clinical Nurse Specialist (PMHCNS) + Doctor of Medicine (MD)/Doctor of ... seeking a Licensed Crisis Clinician (Emergency Services Counselor II) in their Clinical and Acute services Division, The Licensed Crisis Clinician, will assess… more
- Beth Israel Lahey Health (Boston, MA)
- …Prepare insurance forms and respond to requests for medical information. Complete non- clinical portion of forms for pre -operative evaluations, school and job ... are being met. + Verify patients' insurance eligibility and ensure all necessary referrals/ pre -certifications and records are in place by the time of visit. +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Job Title:** Patient Services Specialist This position schedules surgeries and colonoscopies as well as review bowel ... validation of accurate patient demographic and insurance information, obtaining pre -certification/ authorization , scheduling the patient for outpatient and… more
- AssistRx (Orlando, FL)
- …functional requirements, product designs, processes, or potential problems. + Apply basic clinical knowledge to association of prior authorization forms. + ... The position offers the rewarding opportunity to become a "Product Support Specialist " by using our proprietary systems to build, test, and maintain our library of… more
- State of Massachusetts (Boston, MA)
- …a current Psychiatric Mental Health Nurse Practitioner or Psychiatric Mental Health Clinical Nurse Specialist license in the Commonwealth of Massachusetts. * ... role in shaping treatment plans and unit practices rooted in the latest clinical evidence. This position offers a dynamic environment where clinical expertise,… more
- UnityPoint Health (Cedar Rapids, IA)
- … duties: reception, billing, scheduling, charge and data entry, insurance pre - authorization , verification and benefit coordination, report preparation, filing, ... (employer demographics, responsible billing party, billing address) and coordinates authorization for services. + Manages and coordinates pre -authorizations… more
- HonorHealth (AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... specialize in a certain skill set, such as pharmacy buyer/inventory specialist , automation technician, IV room sterile processing technician, IV chemotherapy… more
- HonorHealth (AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... specialize in a certain skill set, such as pharmacy buyer/inventory specialist , automation technician, IV room sterile processing technician, IV chemotherapy… more
- Tidelands Health (Myrtle Beach, SC)
- …identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre -certification information if needed; documents ... and/or make appointments as necessary. For procedures, the employee may pre -register the patient, verifying insurance, etc. In addition, the employee may… more