Contractual Prior Authorization Rn Jobs (NOW HIRING)

McFarland Clinic is currently accepting applications for Prior Authorization Specialist (LPN/RN) for its Ames office. Candidates should be service-oriented, a team player, and be able to provide ...

McFarland Clinic is currently accepting applications for Prior Authorization Specialist (LPN/RN) for its Ames office. Candidates should be service-oriented, a team player, and be able to provide ...

We are seeking a Registered Nurse (RN) - Medical Necessity Review (Prior Authorization / Program Exception) to support the Pennsylvania Medical Assistance (Medicaid) program in a full-time, long-term ...

McFarland Clinic is currently accepting applications for Prior Authorization Specialist (LPN/RN) for its Ames office. Candidates should be service-oriented, a team player, and be able to provide ...

POSITION SUMMARY The Prior Authorization/Clinical Review Nurse (RN) is responsible for reviewing clinical documentation, evaluating medical necessity, and obtaining prior authorizations for ...

... including RN or LPN. Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Ensures the accuracy and timeliness of prior authorization requests to meet contractual ...

... including RN or LPN. Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Ensures the accuracy and timeliness of prior authorization requests to meet contractual ...

Lead and support the Prior Authorization Supervisor and nursing staff to ensure effective daily ... NCQA, and contractual standards. * Conduct monthly internal audits of staff performance and ...

... including RN or LPN. Required Certifications * N/A PREFERRED QUALIFICATIONS Preferred Work ... Ensures the accuracy and timeliness of prior authorization requests to meet contractual ...

Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.

Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Be authorized to work in the United States * Not require sponsorship of any kind for the duration ... Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.

Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...

Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...

... nurses, pharmacies, and other departments regarding authorization status and additional ... prior to scheduled services when required Maintain confidentiality of patient information in ...

Obtain prior authorizations for clinic-based services, including: * Infusion therapies ... Communicate authorization approvals, denials, and pending requirements to providers, nurses ...

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Track, follow up, and document all authorization statuses to ensure timely patient access to care. * Assist providers and nurses with prior authorization questions, refill coordination, and pharmacy ...