- 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
- Textron (Milwaukee, WI)
- **Non\-Licensed A&P Mechanic \- Prior Military Experience \- Various Locations** Textron Aviation has been inspiring the journey of flight for nine decades through ... to our mission, so we are offering veterans the opportunity to use your prior military aircraft maintenance experience to become a licensed A&P mechanic\. Start your… more
- Hartford HealthCare (Hartford, CT)
- …**Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** * Prior Authorization Specialist - Physical Medicine Rehab * ... **Location:** *Connecticut-Hartford-85 Seymour Street - HHMOB (10117)* **Requisition ID:** *25166079* more
- TEKsystems (Fresno, CA)
- …Claims processing, Customer service, Insurance, Health care, insurance claim, prior authorization, Medical billing, Benefit verification, Medical, Clerical, Claim ... Additional Skills & Qualifications + High school diploma/GED equivalent required. Minimum one year work experience, preferably in a medical office setting. Experience with medical terminology and various insurance products and requirements desirable. Word… more
- University of Rochester (Rochester, NY)
- …clinical prep. Obtains and ensures referral paperwork is scanned into patient charts prior to each visit. Prints labels and prepares clinical documents and delivers ... to clinic. Ensures appropriate clinic paperwork is scanned into the chart after the visit. + After each clinic, reviews schedules/office note encounters for scheduling follow up. + Works with Supervisor, Clinical Administration to ensure outpatient clinics are… more
- University of Miami (Miami, FL)
- …FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care ... services + Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services + Refers to the… more
- Walden Security (Honolulu, HI)
- …Court attendance: Responsible for securing unattended courtrooms, an inspection of courtrooms prior to a proceeding, testing of security devices, and other duties ... concerning security of the court area. Preserve order: Responsible for providing security presence in the courtroom, enforcing federal law and judicial orders within the courtroom, enforcing local court rules regarding prohibited items, and providing… more
- Elevance Health (Seven Hills, OH)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist ( Prior Authorization) **Location(s):** + Indianapolis, IN + Mason, OH + ... Cincinnati, OH + Louisville, KY **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports… more