• Pre Authorization

    Arnot Health (Elmira, NY)
    …to conference with other departments to bring about conflict resolution to pre - authorization problems. 14. Demonstrates the ability to be cross-trained to ... Job Description MAIN FUNCTION: Works within a team environment pre -authorizing out patient exams for various hospital services. This position will require a degree… more
    Arnot Health (11/25/25)
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  • Representative , Pharmacy

    Molina Healthcare (Yonkers, NY)
    …accurate. * Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre -work up to case preparation. * Proactively identifies ways ... (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state,… more
    Molina Healthcare (11/21/25)
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  • Laboratory Safety Training and Chemical Hygiene…

    SUNY Brockport (Brockport, NY)
    …through the use of the CITI platform. + Consults with each department representative , manages the assignment of modules based on role type and departmental ... position. Background Investigation Statement: All applicants are subject to a pre -employment background check. Pre -Employment Drug Testing: Pre -employment… more
    SUNY Brockport (10/09/25)
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  • Health Insur & Auth Rep IV

    University of Rochester (Rochester, NY)
    …due to cognitive barriers or medical intensity and ensure their or surrogate representative 's ultimate participation in the case management process. + Perform ... the accuracy and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are… more
    University of Rochester (10/18/25)
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  • Assistant Nurse Manager - Monroe Residential…

    Hillside Family of Agencies (Rochester, NY)
    …Department NYSED), and Council on Accreditation (COA). + Attend admissions pre -placements to obtain medical/psychiatric history, establish health care needs, and ... complete prior authorization for medications or medical necessity based on recommendation...youth are met. + Provide nursing services, such as case finding, health teaching, health counseling, and provision of… more
    Hillside Family of Agencies (11/15/25)
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