- University of Miami (Miami, FL)
- … Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial ... + Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established criteria… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Mayo Clinic (Rochester, MN)
- …methodologies and standards. This project manager will work specifically within the Prior Authorization units. The Senior PM will lead large projects that ... (unexpired) Project Management Professional (PMP) certification is required. **Experience in Prior Authorization Preferred** Candidates should also include any… more
- SSM Health (St. Louis, MO)
- …our healthcare system." **Job Summary:** Responsible for managing the pharmacy infusion prior authorization department to ensure the timely submission of ... and Requirements:** PRIMARY RESPONSIBILITIES + Leads and develops the infusion prior authorization processes and systems to maximize service, data… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Omaha Children's Hospital (Omaha, NE)
- …Functions** + Authorization Coordination + Verify insurance coverage and obtain prior authorizations for a range of scheduled outpatient services. + Ensure the ... and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II Job Category: Clinical Department: Utilization...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more
- Methodist Health System (Dallas, TX)
- …professional responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for ... authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission,...that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
- WesleyLife (Urbandale, IA)
- …purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist** As a Insurance Authorization & Verification ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist, you will:** + Contacts client...insurance documents as needed for "Accounts Receivable and Billing Manager ." + Answers incoming calls as needed. + Works… more