- City of Lincoln/Lancaster County, NE (Lincoln, NE)
- …professional job growth. We're seeking a proactive and experienced StarTran Field Supervisor to dispatch and supervise daily bus operations. This role will ensure ... keeping teams energized and on track, the StarTran Field Supervisor role might just be your Next Stop! THIS...you read each statement below and check ALL boxes prior to submission. 1. This application is hand scored.… more
- Eye Care Partners Career Opportunities (Leawood, KS)
- …responding to questions from patients. Confirms patients' insurance provider and either obtains prior authorization or communicates need for prior ... Title: Surgery Scheduler Department: Ophthalmology Reports To: Surgery Coordination Supervisor Location: Leawood, KS SUMMARY The Surgery Scheduler schedules… more
- Community Counseling Centers of Chicago (Chicago, IL)
- …Responsible for verifying patient registration information, obtaining prior authorization for services, and monitoring patient service utilization with ... to departmental policies and procedures at the direction of supervisor Other duties as assigned by supervisor ....of supervisor Other duties as assigned by supervisor . Competencies (Skills, Knowledge, and Experience): Knowledge of health… more
- Regional One Health (Memphis, TN)
- …effects, special precautions, missed doses, etc. when indicated. Contacts providers concerning prior authorization and medical necessity drugs for third party ... of administration. *Consults on drug therapy, drug regimen review and drug utilization review. *Consults on drug storage and control. *Consults on research projects… more
- Rocky Point Care Center (Lakeport, CA)
- …ESSENTIAL JOB FUNCTIONS: Evaluations are initiated per MD orders-payer authorization and facility/payer source guidelines Develops treatment plan and provide ... assistants and rehab techs clear directives concerning patients and treatment plans prior to initiation of patient care Confers with Program Specialists and … more
- Humana (Madison, WI)
- …specifically Word, Excel, and Outlook. + At least 3-years experience with prior authorization / utilization management. **Preferred Qualifications** + ... and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the...leadership role in overseeing the daily operations of the Utilization Management and Pre- Authorization nursing teams. This… more
- Texas A&M University System (College Station, TX)
- Job Title Registered Nurse II - Prior Authorization & Referral Agency Texas A&M University Health Science Center Department University Health Services Proposed ... health care delivery. What we want The Registered Nurse II- Prior Authorization and Referral, under general supervision,...experience in at least one of the following areas: Prior authorizations or utilization management , c… more
- Actalent (Sunrise, FL)
- …direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... a liaison between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager...Knowledge, Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization ... be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior...year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization … more
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