- Sutter Health (Modesto, CA)
- …prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses ... - 26 weeks ** Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) Strongly Preferred Qualifications: - Insurance knowledge - Prior Authorization experience **This is a Stanford Health Care job.** **A Brief ... Overview** As a foundational level, the PCC II , is expected to learn and apply job skills,...safety and infection prevention within the role's scope. + Patient Care: Perform patient care duties, including… more
- The County of Los Angeles (Los Angeles, CA)
- …preparation and completion of applications for various governmental healthcare programs. Option II : Two years of experience performing patient access functions ... and completion of applications for various governmental healthcare programs. + Option II : Two years of experience performing patient access functions at… more
- The County of Los Angeles (Los Angeles, CA)
- …year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II : Two (2) years of experience as a ... cases, on referred cases for reconsideration, and to obtain authorization for the issuance of denial letters. + Reviews,...number will not be considered. PHYSICAL CLASS: Physical Class II - Light: This class includes administrative and clerical… more
- The County of Los Angeles (Los Angeles, CA)
- …of mental health and support services provided by directly operated clinics, in- patient facilities and contractors of the department. + Provides in-service training ... in the delivery of mental health services at an in- patient or out- patient facility. + Coordinate or...Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA)… more
- The County of Los Angeles (Los Angeles, CA)
- …of mental health and support services provided by directly operated clinics, in- patient facilities and contractors of the department. + Provides in-service training ... in the delivery of mental health services at an in- patient or out- patient facility. + Coordinate or...Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA)… more
- The County of Los Angeles (Los Angeles, CA)
- …respect to such factors as the appropriateness of drugs in relation to the patient 's condition and drug history; the choice of drugs including dosage form, quantity, ... being treated,and,their chemical interaction with other substances in the patient 's system; and,their physical characteristics such as compatibility with other… more
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