If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
... prior authorization workflow requirements into clear acceptance criteria for each platform ... Optum clinical and operations stakeholders. • Support AIRB (AI Review Board) preparation by ...
... prior authorization workflow requirements into clear acceptance criteria for each platform ... Optum clinical and operations stakeholders. • Support AIRB (AI Review Board) preparation by ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
Authorizations Coordinator
West Hills, CA · On-site
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Quick apply
Apply Early
Authorizations Coordinator
West Hills, CA · On-site
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Apply Early
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
Authorizations Coordinator
West Hills, CA · On-site
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Authorizations Coordinator
West Hills, CA · On-site
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Authorizations Coordinator
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Authorizations Coordinator
$19.25 - $24/hr
Temporary to full-time Prior Authorizations Coordinator We are looking for someone who can handle a fast-paced, family environment! The ideal candidate will play a critical role in ensuring seamless ...
Insurance Authorization Specialist - NYC
Manhattan, NY · On-site
$23/hr
Handle insurance verification, benefits review, and prior authorizations. * Track approvals and ... hire, temp to hire, temporary and payrolling services. We have multiple highly specialized ...
Insurance Authorization Specialist - NYC
Manhattan, NY · On-site
$23/hr
Handle insurance verification, benefits review, and prior authorizations. * Track approvals and ... hire, temp to hire, temporary and payrolling services. We have multiple highly specialized ...
Medical Administrator
Edmond, OK · On-site
$19.95 - $21/hr
Medical Services Coordinator (Temporary Assignment - Focus: Prior Authorizations) Job Title: Medical Services Coordinator - Prior Authorizations Location: Edmond, OK Schedule: Monday-Friday, 8:00 AM ...
Quick apply
Apply Early
Medical Administrator
Edmond, OK · On-site
$19.95 - $21/hr
Medical Services Coordinator (Temporary Assignment - Focus: Prior Authorizations) Job Title: Medical Services Coordinator - Prior Authorizations Location: Edmond, OK Schedule: Monday-Friday, 8:00 AM ...
Apply Early
Advanced Team Pharmacy Liaison - High Travel - Remote
Saint Paul, MN · Remote
$17.75 - $21.50/hr
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Performing all benefits investigation, prior authorization, and financial assistance work needed to ...
Advanced Team Pharmacy Liaison - High Travel - Remote
Saint Paul, MN · Remote
$17.75 - $21.50/hr
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting ... Performing all benefits investigation, prior authorization, and financial assistance work needed to ...
... Prior Authorization, Care Management, or Optum Clinical Manager is preferred. - AI tool proficiency is expected, including consistent use of enterprise-approved AI tools such as GitHub Copilot ...
... Prior Authorization, Care Management, or Optum Clinical Manager is preferred. - AI tool proficiency is expected, including consistent use of enterprise-approved AI tools such as GitHub Copilot ...
Clinical Pre-Service Reviewer, Occupational Therapist - Remote
Boston, MA · On-site +1
$43.75 - $57.50/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Adjudicates prior authorizations in a timely manner, ensuring completion ahead of Cornelius due ...
Clinical Pre-Service Reviewer, Occupational Therapist - Remote
Boston, MA · On-site +1
$43.75 - $57.50/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Adjudicates prior authorizations in a timely manner, ensuring completion ahead of Cornelius due ...
Sr. Full Stack Java Engineer
Minneapolis, MN · On-site
$54.75 - $70.75/hr
Prior healthcare experience in Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager is preferred. * AI tool proficiency is expected, including consistent use of ...
Sr. Full Stack Java Engineer
Minneapolis, MN · On-site
$54.75 - $70.75/hr
Prior healthcare experience in Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager is preferred. * AI tool proficiency is expected, including consistent use of ...
Sr. Full Stack Java Engineer
Minneapolis, MN · On-site
$54.75 - $70.75/hr
Prior healthcare experience in Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager is preferred. * AI tool proficiency is expected, including consistent use of ...
Sr. Full Stack Java Engineer
Minneapolis, MN · On-site
$54.75 - $70.75/hr
Prior healthcare experience in Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager is preferred. * AI tool proficiency is expected, including consistent use of ...
Coordinator , UM DME -Orange , CA (Temporary )
Orange, CA · On-site
$23 - $25/hr
Able to solve complex prior authorization and DME questions and issues. * Effectively handle all incoming provider calls including the most challenging provider offices. * Identified trends with ...
Coordinator , UM DME -Orange , CA (Temporary )
Orange, CA · On-site
$23 - $25/hr
Able to solve complex prior authorization and DME questions and issues. * Effectively handle all incoming provider calls including the most challenging provider offices. * Identified trends with ...
... Prior Authorization, Care Management, or Optum Clinical Manager is preferred. - AI tool proficiency is expected, including consistent use of enterprise-approved AI tools such as GitHub Copilot ...
... Prior Authorization, Care Management, or Optum Clinical Manager is preferred. - AI tool proficiency is expected, including consistent use of enterprise-approved AI tools such as GitHub Copilot ...
Temporary Optum Prior Authorization information
See salary details
$12.26 - $13.24
1% of jobs
$13.24 - $14.23
1% of jobs
$14.23 - $15.21
4% of jobs
$15.21 - $16.19
6% of jobs
$16.84 is the 25th percentile. Wages below this are outliers.
$16.19 - $17.18
19% of jobs
The median wage is $17.77 / hr.
$17.18 - $18.16
31% of jobs
$18.87 is the 75th percentile. Wages above this are outliers.
$18.16 - $19.14
18% of jobs
$19.14 - $20.13
9% of jobs
$20.13 - $21.11
5% of jobs
$21.11 - $22.09
3% of jobs
$22.09 - $23.08
2% of jobs
$12
$18
$23
How much do temporary optum prior authorization jobs pay per hour?
Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, FL • On-site, Remote
Full-time
Medical, Dental
Posted 17 days ago
University Of Miami rating
7.7
Based on 52 frontline employees who took The Breakroom Quiz
224th of 544 rated colleges and universities
Job description
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.
CORE FUNCTIONS:
Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services
Follows the authorization process using established criteria as set forth by the payer or clinical guidelines
Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services
Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines
Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team
Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options
Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.
Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly
Maintains knowledge regarding payer reimbursement policies and clinical guidelines.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS:
Education:
Bachelor's degree in relevant field; or equivalent
Experience:
Minimum of 2 years of relevant experience
Oncology - Preferred
Any relevant education, certifications and/or work experience may be considered
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
StaffWhat University Of Miami employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About University of Miami
Sourced by ZipRecruiter
The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Coral Gables, FL, US
Year founded
1925