- Community Based Care of Brevard, Inc. (Rockledge, FL)
- …This position uses Microsoft and a web-based application for daily entry of case activity and the utilization management of service authorizations. 3. 2+ ... Salary: $49,700/year Position Summary: This position oversees and manages the authorization and utilization of services delivered for families determined by the… more
- University of Rochester (Rochester, NY)
- …to departments to reconcile any discrepancies and/or answer any questions. + Escalates case management when medical assessment is needed. + Prioritizes referral ... ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
- Community Based Care of Brevard, Inc. (Brevard, FL)
- …This position is responsible for managing an allocation of services dollars for assigned Case Management Agency requiring strong fiscal management and budget ... Position Summary: This position is responsible for the clinical coordination, utilization management , and authorization of initial and ongoing services for… more
- Highmark Health (Buffalo, NY)
- …to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior ... **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal… more
- Highmark Health (Pittsburgh, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. + Identifies ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Highmark Health (Pittsburgh, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. + Identifies ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Argonne National Laboratory (Lemont, IL)
- …facility groups, such as maintenance staff, support staff, scientific staff, and management + Oversight and scheduling of maintenance, repairs, or construction + ... an assessment of criminal conviction history conducted on an individualized and case -by- case basis. Please be advised that Argonne positions require upon… more
- Henry Ford Health System (Detroit, MI)
- …organ procurement limitations. + Coordinate the activities to obtain pre- authorization for appropriate services including clinical input, patient financial ... and clinical areas to assist in obtaining necessary insurance coverage and authorization information. + Attend organ team selection meetings to represent financial… more
- Healthfirst (NY)
- …of the healthcare industry working in a Call Center environment or Care// Case Management Department + Experience navigating multiple technologies including a ... + Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and//or corrections… more
- University of Utah Health (Salt Lake City, UT)
- …Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care ... and others as indicated. + Collaborates with social worker/nurse case manager and others to confirm authorization ...One year of experience in a utilization review or case management environment. + Basic Life Support… more