- Highmark Health (Providence, RI)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical… more
- State of Massachusetts (Taunton, MA)
- …and licensed Psychologist to fill the role of the Regional Clinical Coordinator - Southeast Region. The selected candidate will develop and oversee the psychological ... to the youth in its care, participate as a senior staff member of the DYS Southeast Regional team,...and provide interagency consultation and planning. The Regional Clinical Coordinator receives clinical supervision from the Agency's Director of… more
- Cardinal Health (Providence, RI)
- …the particular needs of an individual patient. **_Job Summary_** The Coordinator , Individualized Care supports patient access to therapy through Reimbursement ... of their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, and proactively following up… more
- Cardinal Health (Providence, RI)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager ... their patient's journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, identifying & initiating prior… more