- St. Luke's University Health Network (Allentown, PA)
- … is required. + Escalates complex prior authorization issues to Supervisor , Medication Prior Authorization for assistance/guidance. + Maintains ... regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance… 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 ... and supporting overall healthcare outcomes. + Prioritize and process incoming prior authorization requests with urgency, utilizing CoverMyMeds, payer websites,… more
- Johns Hopkins University (Lutherville, MD)
- …prior authorizations for tests and medications when unable to obtained by MOC or Prior Authorization Team. + Assists with in person clinical care (eg, ... We are seeking a **Clinical Nurse Supervisor ** who will support the General Internal Medicine...medication administration, rooming of patients, chaperoning) when needed. +… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …the clinical and other supports effectively and consistently sch as BH front desk, prior authorization pharmacy support, BH CHW, and case management supports. * ... support this growth. We are currently hiring a Psychiatric Nurse Practitioner Supervisor based in Worcester. The Psychiatric Nurse Practitioner Supervisor … more
- Beth Israel Lahey Health (Needham, MA)
- …medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and submit Prior ... by ensuing that the right patients receive the right medication in a safe and timely manner under the...national certification** and proper internal training: Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF… more
- YAI (Queens, 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
- Beth Israel Lahey Health (Beverly, MA)
- …difference in people's lives.** Under the general supervision of the designated supervisor (depending on the location) and in collaboration with a clinical overseer, ... duration of symptoms in EHR Obtains history and reviews medication list. Asks patient if they need any ...of an accredited medical assistant program. Note: Those hired prior to May 28, 2017 without a certification are… more
- State of Colorado (Colorado Springs, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... prior authorization requests to ensure accuracy and...on safe and legal protocols to prepare and administer medication without error. Supervision of medical clinic staff to… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. PTCB certification 2. Specialty Pharmacy experience and/or prior authorization experience. 3. Knowledge of medication use in RA, GI, ... **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and… more
- University of Rochester (Rochester, NY)
- …greater than for pharmacists who work in other areas of the department Medication Authorization and Distribution: - Understands and follows departmental and ... and in a timely manner. - Independently resolves problem medication orders appropriately and in a timely manner. -...manner. - Checks all products requiring a pharmacist approval prior to dispensing. - Participates in departmental Q/A processes… more
- Walgreens (Deerfield, IL)
- …support, evaluating diagnoses and other clinical criteria to complete requests for prior authorization , specialty care specific to the department and patient ... specific department, other responsibilities as judgment or necessity dictate. + Reviews prior authorization criteria for specified payers related to defined… more
- Beth Israel Lahey Health (Westwood, MA)
- …or Access. **Preferred Qualifications:** PTCB certification Specialty Pharmacy experience and/or prior authorization experience. Knowledge of medication use ... . **Essential Responsibilities:** Understands product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and reviews… more
- Beth Israel Lahey Health (Boston, MA)
- …Qualifications:** 1. PTCB certification 2. Specialty Pharmacy experience and/or prior authorization experience. 3. Knowledge of medication use in RA, GI, ... **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and… more
- University of Rochester (Rochester, NY)
- …than for pharmacists who work in other areas of the department. Medication Authorization and Distribution: Understands and follows departmental and hospital ... state and federal laws and regulations for Pharmacy practice. Answers medication related questions from patients and providers, and provides patient counseling… more
- UCLA Health (Santa Monica, CA)
- …in good standing. + Ability to interpret medical information required to perform prior authorizations. + Ability to interpret medication information required to ... of care and research authorizations clearance to train all community practice authorization coordinators. You will work closely with the Manager and Supervisor… more
- University of Rochester (Rochester, NY)
- …greater than for pharmacists who work in other areas of the department. Medication Authorization and Distribution: + Understands and follows departmental and ... state and federal laws and regulations for Pharmacy practice. Answers medication related questions from patients and providers, and provides patient counseling… more
- Cardinal Health (TN)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to ... to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- …+ DETAIL: The selected employee may be required to serve a trial detail prior to being permanently promoted. + TEMPORARY JOB APPOINTMENT: This position may be filled ... section,applicants must authorizethe HR Office of DPS&C-Corrections Services to contact prior employers to check references under thePrison Rape Elimination Act… more
- Louisiana Department of State Civil Service (Angola, LA)
- …+ DETAIL : The selected employee may be required to serve a trial detail prior to being permanently promoted + TEMPORARY JOB APPOINTMENT: This position may be filled ... license, or DD-214 must be verified by official documentation prior to hire. + Any qualifying experience that is...applies to this posting will be interviewed. The hiring supervisor /manager has90 days from the closing dateof the announcement… more