- TEKsystems (Morrisville, NC)
- …savvy and proficient in all Microsoft tools. Additional Skills & Qualifications + Prior authorization experience. + Experience in pharmacy and Medicare insurance ... Job Title: Care Coordinator Job Description The Care Coordinator ...to December 29th. Following training, agents will transition to remote work. The work environment promotes collaboration and uses… more
- Tiffany & Co. (Farmington, CT)
- …compromised and it never will be! We are currently recruiting for an Operations Coordinator to continue to deliver the Tiffany Experience to each customer. As an ... Operations Coordinator you will: + Take the lead by performing...procedure, and practice. **EXPERIENCE** **Required** + 2-3 years of prior retail experience in retail operations with comprehensive knowledge… more
- Tiffany & Co. (Honolulu, HI)
- …compromised and it never will be! We are currently recruiting for an Operations Coordinator to continue to deliver the Tiffany Experience to each customer. As an ... Operations Coordinator you will: + Take the lead by performing...procedure, and practice. **EXPERIENCE** **Required** + 2-3 years of prior retail experience in retail operations with comprehensive knowledge… more
- Highmark Health (Buffalo, NY)
- …**Job Description :** **JOB SUMMARY** This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In ... and/or provider of the approval and/or denial of the requested authorization . **ESSENTIAL RESPONSIBILITIES** + Obtain call task from Utilization Management platform,… more
- Humana (Lansing, MI)
- …telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization , preferably within a managed care organization. **Additional ... and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and...Information** + Workstyle: This is a remote position. + Travel: May need to attend onsite… more
- Hillside Family of Agencies (NY)
- …pre-placements to obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity based on ... REGISTERED NURSE SIGN ON BONUS! Job Summary The Nurse Coordinator provides health care oversight and medical case management...there is flexibility for this to be a partial hybrid/ remote role. Are you a compassionate, experienced Registered Nurse… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Summary:** Are you ready to play a critical role in ensuring timely, ... high-quality patient care from behind the scenes? As a Referral Coordinator , you'll be the vital link between patients, providers, and payers-driving the … more
- Highmark Health (Buffalo, NY)
- …creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to… more
- Mayo Clinic (Phoenix, AZ)
- …the Rheumatology and Pathology fellowship programs. **This position is a combination of remote and on-site work; individual must live within driving distance to the ... in an academic and/or healthcare field required OR a bachelor's degree. Prior experience at Mayo Clinic providing academic program management preferred; experience… more
- Owens & Minor (Tampa, FL)
- …based on job-related factors such as experience, skills, education, and location. Remote opportunity, must be located within the Tampa vicinity. **JOB SUMMARY** The ... to assist customers; and confirming delivery appointments, verifying insurance, obtaining authorization of equipment based on payor guidelines, completing tasks in… more