- Covenant Health Inc. (Knoxville, TN)
- …of Covenant Health (http://www.covenanthealth.com) , our region's top-performing healthcare network . Position Summary: The Clinical Field Staff Supervisor (CFSS) ... success of providing by effectively facilitating the relationship between referral sources, patients, caregivers and employees. Recruiter: Madeline Fornadel ||… more
- GE Aerospace (Lynn, MA)
- …within the Defense Counterintelligence and Security Agency (DCSA), DCSA Assessment and Authorization Manual (DAAPM) and as they apply to various defense industry ... compliant solutions to our customers. **Key Responsibilities:** + Certify IT assets prior to submission to DCSA for accreditation and ensure compliance with… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …nature. Incumbent is responsible for evaluating the adequacy of each completed authorization form. Screens each request for information to determine urgency and ... governing the release of records containing information regarding the treatment of or referral for drug and/or alcohol abuse, Sickle Cell Anemia and infection with… more
- Ascension Health (Middleburg, FL)
- …+ High school diploma OR equivalent required. Work Experience: + 2+ years prior authorization experience required. **Why Join Our Team** Ascension St. Vincent's ... appropriate network and/or payer requirement. + Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and… more
- University of Rochester (Rochester, NY)
- …gathers and sends information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + ... plays a valuable support role in achieving the Primary Care Network goals. **SCHEDULE** + Position includes evenings/weekends/holidays **ESSENTIAL FUNCTIONS** + Must… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …providers, and documents all received prescriptions in CPRS. Reviews Community Care Referral Authorization (CCRA) Website and CPRS to determine authorization ... designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment… more
- SAP (Palo Alto, CA)
- …meet up at other office engagements. SAP&E's supportive community will provide you with a network of peers, mentors and over 100 SAP&E Next Gen Alums, who can guide ... (Bachelors, Masters, Community College, or Bootcamps) + **No requirement for US work authorization sponsorship, now or in the future.** SAP Academy for Product and… more
- Highmark Health (Pittsburgh, PA)
- …and overseeing referral screening/management. **ESSENTIAL RESPONSIBILITIES** + Prior Authorization & Utilization Management: Reviews pharmacy utilization ... **Company :** Allegheny Health Network **Job Description :** **JOB SUMMARY** This role...administration of effective and efficient processing for pharmacy benefits prior authorization processes, insurance evaluations, addressing patient… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- … prior authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by ... of Rx BINs, PCNs, Group numbers, and payer identification. . Understanding of prior authorization routing and third-party review processes. . Experience with… more
- Ely Carefree Living By Oxford Living (Ely, MN)
- …in care conferences as necessary. 4) Monitor client's funding sources to assure that prior authorization is obtained and transferred accurately and timely to the ... Prior Authorization Department and that the appropriate...planners and others to assist in quality care and referral issues. Network with other community providers.… more