- Beth Israel Lahey Health (Cambridge, MA)
- …job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager, the Wound Care Specialist-RN works collaboratively with members of the ... care for patients from referral/consultation to discharge /follow up. Assists with pre- authorization process. + Serves as contact and facilitator to receive consults… more
- WellSpan Health (York, PA)
- …benefits in the completion of a thorough preadmission assessment to establish medical necessity, readiness for program participation and need for inpatient level ... admission. + Collaborates with the WellSpan Surgery and Rehabilitation Hospital medical director or assigned physician to confirm appropriateness of inpatient… more
- Magellan Health Services (San Diego, CA)
- …and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible ... social, and community resources. + Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and… more
- HCA Healthcare (Jourdanton, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...License, Certificates, or Registrations Required: ONE of the following prior to the first day of employment: A. Current… more
- Centene Corporation (Sacramento, CA)
- …on workplace flexibility. **RN highly preferred** **Remote opportunity** **Role is supporting Prior Authorization team working in PST- experience with prior ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- GE Vernova (Schenectady, NY)
- …individuals (eg, certain refugees and asylees)). GE will require proof of status prior to employment. **Desired Characteristics** + ASNT NDT Level I or II ... Certification in Radiography (CT/DR). + Prior Casting NDT Experience. (CT, DR, Grain, FPI, UT,...130% of salary in certain areas. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to… more
- University of Colorado (Aurora, CO)
- …including pre-procedure medications. + Conducting peer to peer review or writing medical necessity letters with insurance companies for pre- authorization of ... **Senior Instructor** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **Obstetrics and Gynecology, Division of Community Medicine,… more
- University of Colorado (Denver, CO)
- …optimization solutions. + Accountable for daily insurance verification accuracy and prior authorization completions for patient visits. **Oversight of Outreach ... Operations Coordinator-36679 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department:College of Nursing** **Job Title: Bilingual Operations… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …of standards, insurance company appeals and teleconferences and provision of prior authorization information; + Participating in the development, implementation, ... Job Summary A Pediatrician is responsible for providing and maintaining quality medical care to patients in KidsPeace programs. The position will ensure the… more
- Highmark Health (Pittsburgh, PA)
- …authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages… more