• Medical Director - West Virginia Medicaid

    CVS Health (Charleston, WV)
    …position is primarily responsible for Utilization Management, including prior authorization and pre certification as well as concurrent review. Cases could focus ... Kentucky license if needed. - MD or DO, Current and Active Board Certification in ABMS or AOA recognized specialty; including post-graduate direct patient care… more
    CVS Health (09/04/25)
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  • Medical Director - Heartland

    CVS Health (Topeka, KS)
    …predetermination reviews and review of claim determinations. + This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / ... medical license without encumbrances *M.D. or DO, Active and Current Board Certification in an ABMS or AOA recognized specialty including post-graduate direct… more
    CVS Health (09/03/25)
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  • Physical Therapist - PRN - Kings Mills Hospital

    Bon Secours Mercy Health (Mason, OH)
    …non-standardized and standardized tests. Ensures completion of patient pre - certification /authorization requirements as needed. Demonstrates knowledge in ... license from the State of Ohio in good standing. Maintains CPR Certification . Preferred: Graduate of accredited program in Physical Therapy with Doctorate level… more
    Bon Secours Mercy Health (09/02/25)
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  • Patient Access Specialist

    Premier Health (Troy, OH)
    …and treatment consents, placing of ordered medical procedures, obtaining a pre - certification when applicable while maintaining compliance with regulatory ... technology, including keyboarding and typing at least 25 wpm. Licensure/ Certification /Registration Medical Terminology certification preferred. Experience Minimum… more
    Premier Health (08/29/25)
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  • Social Worker

    Dartmouth Health (Hampstead, NH)
    …residential programs, and schools. * Perform level-of-care assessments and related pre - certification reviews with insurance companies. * Completes and reviews ... eligible clinicians are required to pursue LICSW licensure. - BLS Certification - CPI Certification (within 3 months of hire) * Area of Interest:Allied Health… more
    Dartmouth Health (08/14/25)
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  • Pharmacy Tech I Ambulatory Retail - Outpatient…

    Penn Medicine (Philadelphia, PA)
    …pharmacist direction. **Responsibilities** + Determines patient insurance requirements for pre - certification , patient payments and coverage limitation and the ... entity, and health system organization **Credentials:** + Pharmacy Technician certification - CPhT (Required) **Education or Equivalent Experience:** + High… more
    Penn Medicine (08/07/25)
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  • Assessment Specialist PRN

    HCA Healthcare (Nashville, TN)
    …+ Verify insurance benefits via passport or registration assistance and determines pre - certification status. + Works to ensure that patient treatment is ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
    HCA Healthcare (06/21/25)
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  • Weatherization Energy Auditor

    Chautauqua Opportunities (Jamestown, NY)
    certification within 2 years of hire. + Required to receive OSHA 10 hour certification + Pre -employment drug and alcohol testing required + Must be able to ... V,A,C,R Requirements Position Responsibilities and Specific Duties: + Performs pre and post audits of all homes on project...be able to obtain Building Performance Institute's Building Analyst certification within one year of hire. + Must be… more
    Chautauqua Opportunities (07/23/25)
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  • SMWDC Operations Analyst Technical SME

    General Dynamics Information Technology (Dahlgren, VA)
    …Strike Group-level naval fires training program as required in support of FRTP pre - certification and sustainment training. + Shall provide support both inport ... options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.… more
    General Dynamics Information Technology (09/19/25)
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  • Patient Services Representative III

    Tidelands Health (Murrells Inlet, SC)
    …copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre - certification information if needed; documents this information in ... and/or make appointments as necessary. For procedures, the employee may pre -register the patient, verifying insurance, etc. In addition, the employee may… more
    Tidelands Health (09/19/25)
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