- 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
- North Polk Community School District (Alleman, IA)
- …or emergencies. 27. Does not make any alterations in routes without prior authorization by the Director of Transportation (excluding life-threatening emergency ... situations). 28. Other duties as assigned. Specifications/Qualifications: + Must have a Class B CDL with air brake, passenger and school bus endorsement and/or be eligible for a school permit. + Must have the ability to interact effectively and appropriately… more
- Sleeping Dog Properties (Wolfeboro, NH)
- …primarily a management position, and physical work will only be permitted with prior authorization from Senior Management. Requirements + Daily Reports: Provide ... end-of-day reports to the Project Manager and Assistant Project Manager. + Site Protection: Ensure all staff and subcontractors wear appropriate Personal Protective Equipment (PPE) and enforce job site safety protocols according to the SDP Site Safety Manual.… more
- UCLA Health (Los Angeles, CA)
- …in scheduling tests and surgeries. + Experience working with various insurances, and prior authorization process. + Ability to work efficiently and calmly under ... occasional high-pressure situations or deadlines. + Excellent interpersonal and communication skills to deal with patients, physicians, medical professionals, and co-workers. + Skill in working independently with accuracy and ability to follow instructions… more
- Penn Medicine (Philadelphia, PA)
- …proper scheduling of services to be performed. When applicable coordinates with the prior authorization staff to verify benefits and obtain any necessary ... authorizations before scheduling procedures. + Maintains Epic in-basket and myPennMedicine to ensure timely response to all inquiries. Manages Work Queues specific to dept. Manages Penn Symphony. Documents all patient communications in EPIC to keep all abreast… more
- Bon Secours Mercy Health (Greenville, SC)
- …Review and assess pertinent medical documentation in Care Everywhere to complete prior authorization for surgeries. **Other Job Functions** + Schedule mutually ... acceptable appointment times for patients and physicians using computerized scheduling system. + Must be able to recognize and respond appropriately to urgent/emergent situations per protocols. + Establish and maintain effective working relationships with… more
- Caterpillar, Inc. (North Little Rock, AR)
- …may be available on a voluntary basis based on business needs and with leader prior authorization . **In this role, you will:** + Work as a team, following ... work instructions to build our Caterpillar machines. + Collaborate with support teams to make continuous improvements to our assembly process. + Utilize assembly tools and lifting devices to make the work easier and safer + Own the work you do, actively… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... + Participate in special projects and embrace additional duties as required, contributing to a dynamic work environment. + Maintain a comprehensive repository of payer or brand-specific coverage information. + Engage in training and process improvement… more
- Crouse Hospital (Syracuse, NY)
- …the health care system from the initiation of the referral, to obtaining prior authorization , scheduling appointments and tracking and following up on results. ... Required Qualifications: Registered Nurse, Demonstrated experience in a multi-specialty physician office. Excellent customer service skills. Excellent computer skills, Demonstrated competence interpersonal and intra professional relations. Demonstrated… more
- St. Mary's Healthcare (Amsterdam, NY)
- …copay cards, foundation grants, patient assistance programs). + Perform medication prior authorization support activities and communicate with providers and ... insurance companies as needed. + Maintain accurate patient documentation within pharmacy systems and patient tracking software. + Monitor and manage the logistics of shipping materials, packaging supplies, and delivery schedules. + Serve as the first point of… more