- Excellus BlueCross BlueShield (Rochester, NY)
- …standard protocols. Essential Accountabilities: Level I + Conducts an initial level medication prior - authorization , exception and medical necessity reviews ... D to determine what type of prior authorization review is required, documents any relevant medication...Management Department. + Functions as a backup to the supervisor for testing and implementation of system upgrades. +… more
- Beth Israel Lahey Health (Burlington, MA)
- …who may benefit from pharmacy support. You will work closely with our Medication Authorization and Access team to triage patient cases efficiently and ... staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance… more
- University of Southern California (Newport Beach, CA)
- …to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift. + Follow-up on outstanding ... The Clinical Authorization Specialist will take the lead in securing...assistance programs as needed and follow-up regarding enrollment and/or medication reimbursements + Communicate with a medical/clinical/pharmacy staff and… more
- University of Rochester (Rochester, NY)
- …in medication dispensing. **ESSENTIAL FUNCTIONS** **_Clinical Staff Pharmacist - Medication Authorization and Distribution_** + Directs and supervises the ... PURPOSE Using clinical judgment and available resources, develops and oversees medication management procedures and strategies to ensure safe and compliant… more
- Atrius Health (Norwood, MA)
- …Manager of the department, research patients' individual medical benefits to ensure prior authorization is obtained before patients' medical services are ... provided. Maintains the management of three separate medication referral Workqueues (New Requests, Pending Authorization ,...the payers' authorization systems to ensure that prior authorization rules by the payor are… more
- Beth Israel Lahey Health (Needham, MA)
- …and pharmacy buyer when inventory levels are low. + Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF request from patient, completes ... not just taking a job, you're making a difference in people's lives.** The Medication Reconciliation Technician plays an integral role in helping to prevent patient … more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a crucial role in positively impacting the lives of patients in the fastest growing ... industry. In this role, your primary responsibility will involve obtaining medication authorizations from insurance plans, ensuring that patients have timely access… more
- Samaritas (Charlotte, MI)
- Position Details MENTAL / BEHAVIORAL HEALTH CLINICAL SUPERVISOR - Eaton County Are you a licensed clinician with a passion for supporting recovery and leading ... others? Join our mission-driven team as a Clinical Substance Use Disorder Supervisor , where your leadership will directly impact lives and shape the future of… more
- YAI (Brooklyn, NY)
- …associated documentation (eg, prescription fax forms). Update EHR accordingly. + Obtain Prior Authorization for non-covered medications or feeding supplies for ... Responsibilities: + Report to the nurse manager or nurse supervisor , at Premier HealthCare (PHC). Meet on a weekly...are checked, and computers are logged on and working prior to patient visit. If any issues report to… more
- Mount Sinai Health System (Greenlawn, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... an understanding of when to escalate calls to a supervisor . + Answers the telephone promptly and in a...assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services,… more
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