- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize our ... The PA Nurse uses a multidisciplinary approach to review service requests ( prior -authorizations), focusing on selected complex medical and psychosocial needs of FH… more
- US Tech Solutions (RI)
- **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ... callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- Securitas Security Services USA, Inc. (Valley Stream, NY)
- …security, law enforcement, military service, or related fields** . Candidates without prior armed security experience may still be considered, as **training is ... populations may have the availability of accessing earned wages on a daily basis, prior to payday. Restrictions and fees may apply. Certain waiting periods may also… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The Prior Authorization Therapist serves as a licensed clinician responsible for managing ... hospitalization, intensive outpatient, or inpatient care). Required + 1 year Prior experience in utilization review, case management, or managed care preferred.… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- …duties include verifying insurance eligibility, verification of authorizations needed prior to surgery. Requirements Applicant should have one year experience ... in medical prior authorization/precertification's, additional experience in third party reimbursement is preferred. Benefits Full and part-time employees are… more
- Consolidated Precision Products (Albany, OR)
- Wax Assembler (Any Level) Prior Experience Required - Varying Shifts If you would love to be part of a company that is poised for substantial growth with ... cleans wax molds in preparation for assembly. This Wax Assembler position requires prior experience as a wax assembler. Duties and Responsibilities: + Cleans and… more
- CVS Health (Baton Rouge, LA)
- …Diagnostic, and Treatment (EPSDT) case managers, providers, and enrollees on prior authorization requests for services. The UM Coordinator will collaborate with ... days of the scheduled appointment * Assists with problems on each prior authorization requests, including identification of new providers, notification to care… more
- CVS Health (Baton Rouge, LA)
- …**Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, and comprehensive clinical reviews for ... regulatory compliance and organizational goals. Key Responsibilities: * Perform prior authorization clinical reviews of acute admissions using evidence-based… more
- Prime Healthcare (Chicago, IL)
- …Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining and verifying ... required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. Pay Transparency Saint Francis Hospital… more
- Fallon Health (Worcester, MA)
- …of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers to collect ... pertinent prior authorization request data and disseminates information to the Authorization Coordinators. Additionally, supports the authorization process by… more