- 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
- Hackensack Meridian Health (Neptune, NJ)
- …/Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well as various specialized ... clinical data is submitted to substantiate the request for prior approvals for oncology services. **Responsibilities** A...in order to avoid technical denials for lack of prior authorization . Understand if payer rules governing… more
- GE HealthCare (CA)
- …support three patients every second around the world. This role is for the Oncology division and will work directly with the commercial team for additional expertise ... on breast cancer and clinical adoption of Cerianna. Oncology is a priority care area for us where...ensure clinical acceptance of Cerianna. + Follow up of prior educated customers to ensure long term acceptance and… more
- University of Virginia (Charlottesville, VA)
- Provide billing and compliance support within the Division of Radiation Oncology to include; compliance and charge capture, referral/medical necessity, denial ... support to clinic and administrative personnel within the Division of Radiation Oncology . + Assures that all referrals are managed effectively and efficiently for… more
- Pfizer (Bothell, WA)
- …but not limited to project teams, peers, partner lines and ORU ( Oncology Research Unit) leadership, you will be responsible for successfully leading research ... and coordinating experimental plans across group to support the business units' case for investment for continued investment. + Actively contribute to the broader… more
- Pfizer (Bothell, WA)
- …on the team will include product management and marketing of the Pfizer Oncology AI Solution Platform. This includes managing the transition of projects from the ... for cross functional teams. + Lead and support business case development and Pfizer Digital strategy to ensure consistent...how they can meet the objectives of the Pfizer Oncology Division. + Provide thought leadership to drive the… more
- MD Anderson Cancer Center (Houston, TX)
- …population. **EXPERIENCE** Preferred: Experience as Advanced Practice Registered Nurse. Prior Medical Oncology experience. **LICENSURE / CERTIFICATION** ... in a clearly understood manner. Coordination of tumor board conferences: Compiles case study data discussed at tumor board meetings. Reviews patient charts to… more
- LifePoint Health (Johnstown, PA)
- CPP Medical Specialties is seeking a full-time Scheduler - CPG Medical Oncology in Johnstown, PA. The Scheduler is responsible for coordinating patient's procedures ... in use of EPIC system for placing orders/prep for case and documenting needed information in appropriate place. This...Responsible for obtaining correct CPT and ICD 10 codes prior to obtaining authorizations for procedures. Will work with… more
- Trinity Health (Boise, ID)
- …for a Clinical Research Coordinator to join our team in Boise in support of Oncology research! If you have experience working in an NCORP, at least 2 years of ... clinical research experience, and have previous experience in oncology , let's talk! **POSITION PURPOSE:** As a Clinical Research Coordinator, you will work on-site… more
- Trinity Health (Grand Rapids, MI)
- …to: managing toxicities, adherence to medication, tracking lab results, facilitating prior authorization and triaging financial constraints. Utilizing the ... An oral oncolytic clinic nurse, is a registered nurse with oncology -specific clinical knowledge who helps manage patient's oral oncolytic regimens. This… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader ofpositive change. The Oncology Clinical Research Nurse Solid Divisionis responsible for coordinating and overseeing ... of studies for feasibility and evaluates potential competition with other protocols prior to submitting study. + Reviews study with principal investigator and/or… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... learning experiences. * Effectively precepts other trainee-required experiences including oncology forum, research projects, grand rounds, MUEs, etc. * Collaborates… more
- Hackensack Meridian Health (Hackensack, NJ)
- …of studies for feasibility and evaluates potential competition with other protocols prior to submitting study + Reviews study with principal investigator and/or ... consent + Educates study patients concerning informed consent procedures, HIPAA authorization + Documents study patient?s medical history including but not limited… more
- University of Washington (Seattle, WA)
- Req #: 236199 Department: DEPARTMENT OF MEDICINE: HEMATOLOGY AND ONCOLOGY Posting Date: 07/08/2024 Closing Info: Open Until Filled Salary: $4,054 - $6,000 per month ... artistic pursuits, and natural beauty. **The Department of Medicine: Hematology and Oncology has an outstanding opportunity for a Research Coordinator to join their… more
- University of Washington (Seattle, WA)
- …to complete it within 30 days of hire. **DESIRED QUALIFICATIONS** * Knowledge of oncology practice and terminology * Prior working experience at the UWMC, FHCRC, ... Req #: 237831 Department: DEPARTMENT OF MEDICINE: HEMATOLOGY & ONCOLOGY Appointing Department Web Address: https://hemonc.uw.edu/ Posting Date: 08/19/2024 Closing… more
- Amgen (Cleveland, OH)
- …on TEPEZZA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access** ... patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements** **.Provide… more
- AbbVie (North Chicago, IL)
- …groups to develop creative solutions to challenging patient access issues regarding prior authorization , and denied coverage requests to ensure patient care. ... of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization , appeals, and specialty pharmacy operations + 1-2 years… more
- Sanofi Group (Cambridge, MA)
- …for the full duration of the internship + Must have permanent US work authorization **Preferred Qualifications:** + Two years of prior work experience in a ... weeks) At this time, Sanofi will not sponsor a new applicant for employment authorization or offer any immigration related support for this position (ie H1B, F-1… more
- Sharecare, Inc. (Columbus, OH)
- …finding alternative care options or assist member in working with payer to complete prior authorization or appeals process, when necessary. + Abide by Clinical ... delivery of Sharecare's Advocacy program by providing high quality telephonic/digital Case Management and/or condition management in a virtual call center… more
- Providence (OR)
- …of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization , Medical Audits, Appeals or Delegation) + Experience ... a Clinical Program Coordinator RN who will:** + Provide care coordination, case management and care management services to Providence Health Plans(PHP) members +… more