- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the ... prior authorization workflow. Acting as a working manager ,...tracking productivity towards goals, hiring, training, and managing the Prior Authorization Coordinators, and completing the necessary… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- MetroHealth (Valley View, OH)
- …hire. Meets one of the following: * 1 year of experience with prior authorization practices or within a Pharmacy Benefit Manager practice. * 2 years of ... Pharmacy benefits verifications and payor preauthorization. Provides clinical oversight for Prior Authorization Specialists and is a resource for providers… more
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted ... facilities/agencies/providers to collect pertinent prior authorization request data and disseminates information...Manager as business needs dictate. + Prepares completed authorization records for filing in accordance with company record… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab ... in insurance and reimbursement requirements inclusive of coding and treatment authorization and making recommendations to optimize compliance. Management of … more
- Adecco US, Inc. (San Diego, CA)
- …as needed for special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in Pharmacy or PharmD . ... Current and unrestricted Pharmacist license in California . Must reside within California . Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review - Comprehensive and Targeted, 2) Personal… more