... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem
Woodburn, OR · On-site
$79.43/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem
Woodburn, OR · On-site
$79.43/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem
$80.22/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem
$80.22/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem - $80.22/hr
Newberg, OR · On-site
$80.22/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Pharmacist - Per Diem - $80.22/hr
Newberg, OR · On-site
$80.22/hr
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
... and prior authorization completions. Additionally, there is an opportunity for clinical visits ... Drug Utilization Review * Patient Counseling * Medication Therapy Management * Perform ...
Prior Authorization Utilization Review information
What is a Prior Authorization Utilization Review specialist?
A Prior Authorization Utilization Review specialist is a healthcare professional responsible for evaluating medical service requests to ensure they meet specific criteria for approval before services are provided. Their main role is to review clinical information, verify medical necessity, and ensure compliance with insurance policies and guidelines. They act as a liaison between healthcare providers, insurance companies, and patients to facilitate timely and accurate authorization decisions. This process helps to manage healthcare costs and ensure patients receive appropriate care.
What are the key skills and qualifications needed to thrive as a Prior Authorization Utilization Review specialist?
To thrive as a Prior Authorization Utilization Review Specialist, you need a strong understanding of medical terminology, insurance guidelines, and clinical criteria, often supported by a degree in healthcare or nursing and relevant certification (such as RN or LPN). Familiarity with prior authorization software, electronic health record (EHR) systems, and payer portals is typically required. Attention to detail, strong communication skills, and the ability to multitask help professionals excel in this role. These competencies ensure accurate and timely processing of authorizations, reducing delays in patient care and ensuring compliance with payer requirements.
What are some common challenges faced by professionals in Prior Authorization Utilization Review roles, and how can these be managed?
Professionals in Prior Authorization Utilization Review often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and ensuring timely communication between providers and payers. Staying organized, developing a thorough understanding of payer guidelines, and maintaining clear, consistent communication are key strategies for managing these challenges. Many teams also rely on workflow management tools and regular team huddles to streamline processes and ensure all cases are handled efficiently.
What is the difference between Prior Authorization Utilization Review vs Medical Reviewer?
| Aspect | Prior Authorization Utilization Review | Medical Reviewer |
|---|---|---|
| Credentials | Licensed healthcare professionals, often with certifications in utilization review | Licensed physicians or healthcare providers with clinical expertise |
| Work Environment | Insurance companies, healthcare organizations, or third-party review firms | Hospitals, clinics, insurance companies, or consulting firms |
| Primary Focus | Assessing the necessity of procedures or treatments before approval | Evaluating clinical records to determine medical necessity and appropriateness |
While both roles involve clinical assessment, Prior Authorization Utilization Review focuses on pre-authorization decisions for treatments, whereas Medical Review involves detailed clinical evaluation of patient records to determine medical necessity. Both require healthcare credentials and are integral to healthcare quality and cost management.
What are popular job titles related to Prior Authorization Utilization Review jobs in Oregon?
For Prior Authorization Utilization Review jobs in Oregon, the most frequently searched job titles are:
- Utilization Review Physician
- Full Time Physician Advisor Utilization Review
- Optum Clinical Review Coordinator
- Utilization Management Coordinator
- Manager Utilization Management
- Freelance Utilization Review Nurse
- Behavioral Health Utilization Review
- Senior Behavioral Health Utilization Review
- Remote Utilization Review Social Worker
What job categories do people searching Prior Authorization Utilization Review jobs in Oregon look for?
The top searched job categories for Prior Authorization Utilization Review jobs in Oregon are:
What cities in Oregon are hiring for Prior Authorization Utilization Review jobs?
Cities in Oregon with the most Prior Authorization Utilization Review job openings:
$80.22/hr
Part-time, Per diem
Posted 4 days ago
Yakima Valley Farm Workers Clinic rating
6.9
Based on 12 frontline employees who took The Breakroom Quiz
Job description
Join our team as a Per Diem Pharmacist at Salud Medical Center in Woodburn, OR, and be part of a healthcare organization that believes in making a difference beyond medical care!
What does it mean to join our team as a pharmacist?
As a pharmacist at Yakima Valley Farm Workers Clinic, you are truly integrated into a team-based healthcare organization working to the top of your licensure. Pharmacists are involved in all aspects of patient care and have access to patient charts, labs, medications, and diagnoses. With the ability to prescribe or modify care plans via collaborative agreements, our goal is to ensure patients receive the best and most complete, cost-effective medications and care possible. Aside from traditional outpatient dispensing, pharmacists provide clinical support to medical providers via chronic refill authorization, therapeutic interchanges, and prior authorization completions. Additionally, there is an opportunity for clinical visits managing diabetes, hypertension, anticoagulants, and asthma, amongst other chronic conditions, with direct face-to-face or telehealth patient care.
At Yakima Valley Farm Workers Clinic, we value inclusivity and are more than just a job-we are committed to the well-being of our community.
We are one of the region's leaders in community health centers with 40+ clinics across Washington and Oregon. We offer a wide range of in-house services across medical, dental, pharmacy, orthodontia, nutrition, and behavioral health. Our holistic model extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.
Explore our short clips, " WE are Yakima - WE are Family" and " YVFWC - And then we grew ," for a glimpse into the dedication to our communities, health, and families.
This per diem position will provide coverage across our Salud, Lancaster, and Rosewood clinics, with shifts scheduled Monday through Friday between 8:00 am and 6:00 pm.
Who we are looking for:
What We Offer:
What You'll Do:
Qualifications
Our Mission Statement:
“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”
Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Contact us at to learn more about this opportunity.
Visit our website at for more information about our organization!
What does it mean to join our team as a pharmacist?
As a pharmacist at Yakima Valley Farm Workers Clinic, you are truly integrated into a team-based healthcare organization working to the top of your licensure. Pharmacists are involved in all aspects of patient care and have access to patient charts, labs, medications, and diagnoses. With the ability to prescribe or modify care plans via collaborative agreements, our goal is to ensure patients receive the best and most complete, cost-effective medications and care possible. Aside from traditional outpatient dispensing, pharmacists provide clinical support to medical providers via chronic refill authorization, therapeutic interchanges, and prior authorization completions. Additionally, there is an opportunity for clinical visits managing diabetes, hypertension, anticoagulants, and asthma, amongst other chronic conditions, with direct face-to-face or telehealth patient care.
At Yakima Valley Farm Workers Clinic, we value inclusivity and are more than just a job-we are committed to the well-being of our community.
We are one of the region's leaders in community health centers with 40+ clinics across Washington and Oregon. We offer a wide range of in-house services across medical, dental, pharmacy, orthodontia, nutrition, and behavioral health. Our holistic model extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.
Explore our short clips, " WE are Yakima - WE are Family" and " YVFWC - And then we grew ," for a glimpse into the dedication to our communities, health, and families.
This per diem position will provide coverage across our Salud, Lancaster, and Rosewood clinics, with shifts scheduled Monday through Friday between 8:00 am and 6:00 pm.
Who we are looking for:
- A Pharmacist passionate about serving underserved communities
- A Pharmacist with experience in community or ambulatory pharmacy practice
- New graduate? Make your resume stand out by listing all rotations in community or ambulatory pharmacy practice
- PGY-1 & PGY-2 residencies are equivalent to work experience
What We Offer:
- $80.22/hour
What You'll Do:
- Provide patient care services as assigned, which include but are not limited to:
- Drug Utilization Review
- Patient Counseling
- Medication Therapy Management
- Perform Collaborative Drug Therapy Management or other post-diagnostic disease state management, pursuant to a valid agreement
- Prescribe drug or device, as authorized by statute, according to Drug Therapy Management Protocols
- Order, interpret, and monitor laboratory tests
- Receive or transfer of a prescription
- Drug Utilization Review
- Provide direct oversight of pharmacy personnel, ensuring work is within the scope of practice and duties of their licensure
- Ensure the security of the pharmacy area, including the provision of adequate safeguards against theft or diversion of prescription drugs
- Ensure all records and inventories are maintained in accordance with state and federal laws
- Ensure new prescriptions, refills, and drug orders are correctly dispensed according to the provider's authorization and YVFWC policies and procedures
- Maintain active licensure and pharmacological knowledge by attending educational workshops, reviewing professional publications, establishing professional networks, and participating in professional societies
Qualifications
- To be considered for this position, you must complete a Bachelor's Degree in Pharmacy and have a current Oregon State Pharmacist License.
- A Pharm D Degree and Bilingual (English/Spanish) speaking skills are preferred
- Drug testing: This position requires testing for controlled substances before employment and will be subject to further testing throughout employment.
Our Mission Statement:
“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”
Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Contact us at to learn more about this opportunity.
Visit our website at for more information about our organization!
What Yakima Valley Farm Workers Clinic employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Yakima Valley Farm Workers Clinic
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Toppenish, WA, US
Year founded
1978