- Highmark Health (Denver, CO)
- …the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing ... and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals and… more
- Mount Sinai Health System (New York, NY)
- …evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary ... HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's… more
- Highmark Health (Buffalo, NY)
- …SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal request, ... case in Highmark's Utilization Management system for Prior Authorization clinical review , status research, etc. Ensures all accurate information is verified and… more
- Highmark Health (Buffalo, NY)
- …**JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts ... (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate information is entered at the onset of the… more
- University of Kansas (Lawrence, KS)
- **31712BR** **Job Title:** Manager, Peer Educator Development **Department:** University Academic Support Ct **Primary Campus:** University of Kansas Lawrence Campus ... and implements Wingspan online and in-person training processes for peer educator [and tutor] development for over 110 ...regarding the nondiscrimination policies and is the Title IX coordinator for all KU and KUMC campuses: Associate Vice… more
- Amentum (Kennedy Space Center, FL)
- …System) and other Configuration Management (CM) systems as needed to support documentation peer review and release process is preferred. * Perform other related ... duties as assigned. **Qualifications - External** **High School Diploma or equivalent; four years related experience.** **Depending on the candidate's experience,** **requirements, and business needs, we reserve the right to consider candidates at any level… more
- UHS (Binghamton, NY)
- …like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- University of Rochester (Rochester, NY)
- …chat inquiries, and ensures prompt, accurate assistance. + Supports student peer advisors by offering administrative guidance, answering questions, and helping ... Determine necessary follow-up actions, notifies advisors, and manages the underload review and approval process. Tracks and monitors submissions and generates… more
- AdventHealth (Louisville, CO)
- …the Medical Staff Bylaws, Organizational Policy, Credentialing Policy, Allied Health Policy, Peer Review Policy and General Rules and Regulations. + Conducts ... Medical Staff Required Campus Orientation for all new physician and Allied Health Applicants. Reviews required materials from the orientation manual and completes orientation check list and survey with each candidate **The expertise and experiences you'll need… more
- Hunterdon Health Care System (Flemington, NJ)
- …maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional, ... performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Recognize and maturely handle a variety of situations, often of a confidential or urgent nature. Primary Position Responsibilities 1. Administrative Support - Dictate and… more