- St. Luke's Health System (Boise, ID)
- …billing, direct patient care, medication access and management, and navigating insurance and prior authorization processes, this is the role for you! Boost Your ... Career with National Certification Assistance **Why You'll Love This Role** + **Monday to Friday, 8:00 am to 5:00 pm** - Enjoy your weekends and holidays free! + Collaborate with pharmacists and healthcare teams in a dynamic, patient-focused environment. +… more
- CVS Health (Baton Rouge, LA)
- …Applied Behavior Analysis (ABA). * Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. * Attend ... and actively participate in clinical meetings with care management and utilization management teams, offering subject matter expertise on all ABA-related questions and member concerns. * Contribute to the development and refinement of medical management… more
- Essentia Health (Superior, WI)
- …of Specialty Pharmacy including but not limited to: medication fulfillment, prior authorization , patient assistance, care coordination, and clinical pharmacist ... practice + Develop, implement, and communicate key metrics and improvement activities to monitor the performance of operational and clinical services + Serves as professional and clinical resource in specialty medication use across the enterprise and between… more
- Trinity Health (Albany, NY)
- …cardiac symptoms. Patient education via phone or nurse visits. Prescription refills, prior authorization for medicine. **Position Highlights:** + **Quality of ... Life:** Where career opportunities and quality of life converge + **Advancement:** Strong orientation program, generous tuition allowance and career development + **Work/Life:** Monday - Friday Office Hours **What you will do:** The **Registered Professional… more
- Cedars-Sinai (Los Angeles, CA)
- …and holidays, ensures outside lab kits are available, refills medications and submits for prior authorization if needed. Acts as the super trainer for Point of ... Care urine and glucometer and performs NST testing in the Prenatal Diagnostic Center when coverage is needed. **Qualifications** **Qualifications:** Education: + GED or Highschool Diploma **License/Certifications:** + Current, unrestricted California LVN… more
- BayCare Health System (Tampa, FL)
- …+ This role may be responsible for screening the patient for TMS, obtaining prior authorization for treatment, providing daily treatments for TMS patients and ... all appropriate documentation and coordination of services for the TMS program. + The Medical Support Specialist will work closely with the medical provider assessing patients for TMS services to coordinating services. **Requirements:** + BLS (Basic Life… more
- Hartford HealthCare (Watertown, CT)
- …communication as required, to Agency personnel and other reimbursement sources. * Obtains prior authorization for services when indicated by calling payors and ... requesting and/or providing verbal or written confirmation, in a timely manner within respective established time frames. * Completes and processes discharge record within 24 hours after last patient visit, and communicates promptly with other Agency… more
- Northern Light Health (Bangor, ME)
- …pharmacy. * Clinical Duties as directed including but not limited to: * Prior Authorization Completion * Financial Assistance Procurement * Counseling and ... educating patients * Medication therapy management * Medication reconciliation * Patient Management Other Information: Competencies and Skills + Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of… more
- SSM Health (Oklahoma City, OK)
- …adherence to hospital and regulatory policies. + Performs insurance verification and prior - authorization based on payor requirements. + Works in a constant ... state of alertness and safe manner. + Performs other duties as assigned. EDUCATION + Master's degree in Behavioral Health or related field EXPERIENCE + No experience required PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects… more
- Centene Corporation (Austin, TX)
- …visits, appropriate prescription drug spend, and mitigation of provider abrasion from prior authorization and inpatient management programs. + Collaborate with ... matrix partners to design, implement, and drive programs that align with and achieve Behavioral Health goals for the product. + Take a macro-level view of behavioral health utilization management responsibilities to optimize clinical resource allocation and… more