- Cordis (Irvine, CA)
- …point of contact with the site for communication with SELUTION CSM, CRA, and CRO team + Partner with SELUTION clinical research teammates to meet business needs ... guidelines and policies + Identify and mitigate quality risks and issues for assigned clinical studies with oversight from study management team + Assist with… more
- Cordis (Irvine, CA)
- …oversight of statistical design, analysis, and reporting across SELUTION DEB clinical programs. This role ensures the scientific integrity of all biostatistical ... methods, and leads internal and external data management partners to support clinical development and regulatory submissions. **Key Responsibilities** + Serve as the… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through...with procedures. + Preparing and administering medications with physician's authorization , + Performing EKGs. + Using CPR skills when… more
- Tidelands Health (Georgetown, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... PRN Work Shift: Day - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through better health!** **Patient Services… more
- Moses/Weitzman Health System (Hartford, CT)
- …and consultative needs; refers as necessary for medication management. + Attends clinical Team Meetings as assigned and Component Meetings + Clinically ... medical providers who are part of the client's care team , and documents all clinical interventions in...a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan… more
- Moses/Weitzman Health System (Portland, CT)
- …diagnostic and consultative needs; refers as necessary for medication management. + Attends clinical Team Meetings and Component Meetings as assigned. + Meets ... medical providers who are part of the client's care team . The clinician will document all clinical ...a timely manner, included by not limited to intake, prior authorization request, progress notes, treatment plan… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... **RN Case Manager** is a valuable member of our team , who provides clinical services to our...regarding acuity, plan of care and communication with the team . Charting includes data for authorization and… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through...years of experience in Healthcare Revenue Cycle that includes prior authorization . **Skills and Abilities** + Ability… more
- US Physical Therapy (Tomball, TX)
- …a highly organized and personable **Part-Time** **Medical Receptionist** to join our team at a busy and fast-paced outpatient physical therapy clinic. This role ... information, and copayments + Perform **insurance verifications** and obtain ** prior authorizations** for physical therapy services + Maintain organized and… more
- Vaco (Bridgewater, NJ)
- …sales approaches and reimbursement strategies. + **Cross-Functional Collaboration** + Partner with Prior Authorization (PA) and Intake teams to deploy preferred ... The Business Development Managers form the core of our Business Development team , and interact daily with physicians, nurses, and other health care providers… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Team Lead is accountable to leadership to support the day to day operations of the ... team . This position has no supervisory oversight of staff,...point and first line of contact for staff for clinical issues. They may lead projects as assigned. The… more
- CVS Health (Richmond, VA)
- …to Applied Behavior Analysis (ABA). * Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. ... system that is transparent, consumer-focused, and acknowledges physicians for their clinical excellence and effective utilization of health care resources. Reporting… more
- CVS Health (Baton Rouge, LA)
- …and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure the ... Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team … more
- Elevance Health (Seven Hills, OH)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist ( Prior Authorization ) **Location(s):** + Indianapolis, ... **Be Part of an Extraordinary Team ** CarelonRx is a proud member of the...By leveraging the power of new technologies, our strong, clinical -first lens and deep pharmacy expertise, we are actively… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff + Submit pre-certification/pre determination… more
- CVS Health (Phoenix, AZ)
- …and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - ... And we do it all with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position ... individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such...of work. + Ability to work independently within a team setting. + Consistently demonstrates positive attitude when interacting… more
- Omaha Children's Hospital (Omaha, NE)
- …to identify authorization trends, payer barriers, and denial patterns. + Clinical Coordination + Participate in interdisciplinary treatment team meetings to ... veterans and people with disabilities. **A Brief Overview** The Prior Authorization Therapist serves as a licensed...& Advocacy + Serve as the liaison between the clinical team , revenue cycle, and payer representatives.… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize ... information from medical care providers as needed for the clinical review process * Conducts pre- authorization and...setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... OR + High school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access Associate (CHAA), or… more
