- US Tech Solutions (GA)
- …to the PA team and member services department . + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting ... **Job Description:** This is a remote position and requires the ability to effectively...management, and reporting. + Review criteria-based prior authorizations following policy and procedure. + Provide on-call after hours nurse… more
- Geisinger (Danville, PA)
- …patient care including, treatments, medications, and diagnostic studies according to policy and procedure. + Evaluates effectiveness of nursing interventions and ... and organizational quality and safety. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying… more
- Highmark Health (Buffalo, NY)
- …case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered at the onset of ... identified cases that require additional notification to member, provider, and/or pharmacist .At times, outreach to providers and/or pharmacists may be required to… more
- Geisinger (Danville, PA)
- …patient care including, treatments, medications, and diagnostic studies according to policy and procedure. + Evaluates effectiveness of nursing interventions and ... and organizational quality and safety. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying… more
- Geisinger (Danville, PA)
- …patient care including, treatments, medications, and diagnostic studies according to policy and procedure. + Evaluates effectiveness of nursing interventions and ... positive manner as assigned. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying… more