Houston, TX · Remote
$55.75 - $66.75/hr
Retirement
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
New
Houston, TX · Remote
$55.75 - $66.75/hr
Retirement
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
New
Houston, TX · Remote
$55.75 - $66.75/hr
Retirement
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
New
Houston, TX · Remote
$55.75 - $66.75/hr
Retirement
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start ... review all prior authorization requests and render coverage determinations based on clinical ...
New
Houston, TX · On-site +1
$19.50 - $25.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...
Houston, TX · On-site +1
$19.50 - $25.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...
Be Seen First
Houston, TX · Remote
$26/hr
This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...
Quick apply
Be Seen First
Houston, TX · Remote
$26/hr
This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...
Sugar Land, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Realistic Job Preview Video Remote in Alabama, Arizona, Arkansas, Colorado, Delaware, Florida ... Respond to prior authorization inquiries and requests from providers, pharmacies, members, and ...
Sugar Land, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
Realistic Job Preview Video Remote in Alabama, Arizona, Arkansas, Colorado, Delaware, Florida ... Respond to prior authorization inquiries and requests from providers, pharmacies, members, and ...
Houston, TX · Remote
$17.50 - $26/hr
Medical
Dental
Vision
Life
Retirement
PTO
Obtain prior authorizations through insurance carriers via phone, fax, and payer portals * Review ... Florida Why Apply? * 100% remote work environment * Opportunity for long-term career growth
Houston, TX · Remote
$17.50 - $26/hr
Medical
Dental
Vision
Life
Retirement
PTO
Obtain prior authorizations through insurance carriers via phone, fax, and payer portals * Review ... Florida Why Apply? * 100% remote work environment * Opportunity for long-term career growth
Collaborate with physicians, NPs, PAs, RNs, case managers, and therapy teams to optimize patient ... Prior remote consultation or multifacility wound program management. * Familiarity with pressure ...
Collaborate with physicians, NPs, PAs, RNs, case managers, and therapy teams to optimize patient ... Prior remote consultation or multifacility wound program management. * Familiarity with pressure ...
Collaborate with physicians, NPs, PAs, RNs, and therapy teams to optimize patient outcomes ... Prior remote consultation or multi-facility wound program management. Familiarity with pressure ...
Collaborate with physicians, NPs, PAs, RNs, and therapy teams to optimize patient outcomes ... Prior remote consultation or multi-facility wound program management. Familiarity with pressure ...
Houston, TX · Remote
$39/hr
The Remote Oncology Triage Nurse provides telephonic triage services, assessing patient needs and ... Active and unrestricted Registered Nurse (RN) Texas or other compact state license (additional ...
Quick apply
Houston, TX · Remote
$39/hr
The Remote Oncology Triage Nurse provides telephonic triage services, assessing patient needs and ... Active and unrestricted Registered Nurse (RN) Texas or other compact state license (additional ...
Houston, TX · On-site +1
$20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Gather and document prior authorization information and perform related follow-up activities as ... Work Environment This is a remote position based in the United States. Candidates must reside in ...
Houston, TX · On-site +1
$20/hr
Medical
Dental
Vision
Life
Retirement
PTO
Gather and document prior authorization information and perform related follow-up activities as ... Work Environment This is a remote position based in the United States. Candidates must reside in ...
Authorized to work in the U.S. * Strong communication skills * Reliable internet connection ... Must be willing to obtain Life and Health Insurance No prior experience is required. We provide ...
Authorized to work in the U.S. * Strong communication skills * Reliable internet connection ... Must be willing to obtain Life and Health Insurance No prior experience is required. We provide ...
Houston, TX · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
Houston, TX · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
Authorized to work in the U.S. * Strong communication skills * Reliable internet connection ... Must be willing to obtain Life and Health Insurance No prior experience is required. We provide ...
Authorized to work in the U.S. * Strong communication skills * Reliable internet connection ... Must be willing to obtain Life and Health Insurance No prior experience is required. We provide ...
Houston, TX · Remote
$55 - $65/hr
Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing ... Active RN license (U.S., outside California). * Recent adult acute care inpatient bedside ...
New
Quick apply
Houston, TX · Remote
$55 - $65/hr
Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing ... Active RN license (U.S., outside California). * Recent adult acute care inpatient bedside ...
New
Houston, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Houston, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Houston, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Quick apply
Houston, TX · Remote
Medical
Dental
Vision
Life
Retirement
PTO
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the ...
Remote Duration: 6+ month * Design, develop, and implement Da Vinci FHIR solutions supporting CMS ... Experience supporting CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F ...
Quick apply
Remote Duration: 6+ month * Design, develop, and implement Da Vinci FHIR solutions supporting CMS ... Experience supporting CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F ...
Houston, TX · Remote
$60 - $100/hr
Remote Role Responsibilities * Design questions related to the Registered Nurse occupation using your professional experience. * Collaborate with one of the world's top AI companies to enhance ...
Quick apply
Houston, TX · Remote
$60 - $100/hr
Remote Role Responsibilities * Design questions related to the Registered Nurse occupation using your professional experience. * Collaborate with one of the world's top AI companies to enhance ...
Richmond, TX · On-site +1
$48K - $75K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive ... Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or ...
New
Richmond, TX · On-site +1
$48K - $75K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive ... Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or ...
New
Houston, TX · On-site +1
$44 - $79/hr
Retirement
Experience in Coverage Determinations (prior authorization) or member appeals * Pharmacy reimbursement (third party insurance, Medicare Part D formulary management, Medicaid *All Telecommuters will ...
Houston, TX · On-site +1
$44 - $79/hr
Retirement
Experience in Coverage Determinations (prior authorization) or member appeals * Pharmacy reimbursement (third party insurance, Medicare Part D formulary management, Medicaid *All Telecommuters will ...
$6.64 - $11.89
0% of jobs
$11.89 - $17.13
0% of jobs
$17.13 - $22.37
4% of jobs
$22.37 - $27.61
18% of jobs
$28.30 is the 25th percentile. Wages below this are outliers.
$27.61 - $32.85
20% of jobs
The median wage is $35.01 / hr.
$32.85 - $38.09
18% of jobs
$42.81 is the 75th percentile. Wages above this are outliers.
$38.09 - $43.33
16% of jobs
$43.33 - $48.57
10% of jobs
$48.57 - $53.82
6% of jobs
$53.82 - $59.06
4% of jobs
$59.06 - $64.30
3% of jobs
$6
$37
$64
| Aspect | Remote Prior Authorization Rn | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review | Certification in coding (CPC, CCS), high school diploma or equivalent |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Medical offices, insurance companies, remote coding platforms |
| Industry Usage | Utilization review, patient authorization, insurance approval | Medical record review, billing, coding for insurance claims |
Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.
$55.75 - $66.75/hr
Full-time
Retirement
This job post has expired 1 day ago. Applications are no longer accepted.
Pharmacist needed for Remote / Work From Home Position! Multiple openings with aSeptember Start Dates! Pay Rate: 53.00 per hour depending on what role we get you in for! 3 Different Departments hiring during this time of year - Here is the options: 2 Opening: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends (September 8th and September 28th Start Dates - Hottest Openings) 1 Opening: Monday - Friday 930am - 6pm 1 Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Job Requirements: Must be licensed Pharmacist in the State you Reside in Looking for Pharmacist with Prior Authorization Experience - PBM! (Not retail experience) Must have home office/ability to work from home with no distractions and plug in ethernet Benefits/401k Opportunity! Benefits are available to full-time employees after 90 days of employment A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Please apply now to these Pharmacist Openings! - Jared Petrill
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A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.
Recruiting and staffing services
201 - 500 Employees
Utica, MI, US
2004
