- Bassett Healthcare (Cooperstown, NY)
- …learning to the team and is a go to person for coworkers. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor and Supervising Nurse +… more
- Ellis Medicine (Schenectady, NY)
- …The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge ... in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, updating… more
- Texas Health Resources (Flower Mound, TX)
- …(REQUIRED) + At least 3 years of Clinic Experience (STRONGLY PREFERRED) + Prior Authorization experience (STRONGLY PREFERRED) + Back Office Experience (STRONGLY ... **Licensed Vocational Nurse ** _We're looking for a qualified_ **_Licensed Vocational...PREFERRED) **Position Responsibilities** THPG Licensed Vocational Nurse , under the supervision of a Registered … more
- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures rooms are neat, clean, and stocked. + Rooms patients in preparation for nurse and physician. Breakdown, cleaning and set up of exam rooms to insure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization for… more
- Elevance Health (Walnut Creek, CA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Richmond, VA)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- St. Mary's Healthcare (Johnstown, NY)
- …care. Ensure rooms are neat, clean, and stocked. Rooms patients in preparation for nurse and physician. Breakdown, cleaning and setting up of exam rooms to ensure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization for… more
- UPMC (Tobyhanna, PA)
- …on-site presence in the office as needed. The ideal candidate will have prior experience working with children, adolescents and IBHS. A Care Manager is responsible ... and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...: Current NYS RN. A Bachelor's degree or a nurse working on their degree with an RN license… more
- MD Anderson Cancer Center (Houston, TX)
- …as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant *Licensure/Certification* *REQUIRED:* Written authorization ... Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be consistent with… more