- Niagara Bottling, LLC (Diamond Bar, CA)
- …and benefits packages for our Team Members. Sr. Manufacturing Technology Specialist - Warehouse Excellence (Remote) The Sr. Manufacturing Technology Specialist ... training to participants of Warehouse Leadership (Supervisor & Manager) Conduct pre /post training assessments Instructional Design Manage the development of in… more
- Reef Systems (Charleston, SC)
- …Staff (ProStaff) meetings. *Identify and notify the Government MTF case manager, Utilization Management (UM) nurse or Primary Care Management (PCM) team, as ... Chapter 8, Section 5), covered TRICARE benefit and required tests and pre -work. Coordinate with referring providers in cases where additional referral information is… more
- Rite Aid Corp. (Salem, OR)
- …the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board ... immunization and when available MTM (Medication Therapy Management), DCS (Diabetes Care Specialist ), and all ongoing other programs as identified. 3. Oversee the… more
- RHA Health Services (Asheville, NC)
- …all initial and reauthorizations for services occur in a timely fashion Monitoring utilization of service to ensure that it is effective, appropriate, and within the ... limits set forth in both rule, PCP, and the service authorization #HPBH Requirements: Education: Bachelor Degree (Not Human Services field) & 4+ years full-time… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive coordination and management of all prior authorization activities ... + 1 year clinical and/or related experience required. + Case Management, Utilization Review, Oncology, Cellular Therapy and/or Prior Authorization experience is… more
- Methodist Health System (Richardson, TX)
- …nurses, insurance utilization management staff, and patients to initiate pre - authorization and resolve issues that arise during the prior authorizations ... (United States of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage,… more
- WesleyLife (Urbandale, IA)
- …and various payers. + Ensures that cases are effectively managed according to utilization and authorization , as defined by payer. This includes documentation and ... and Medicare/Medicaid. + Maintains written and verbal communication regarding authorization , re- authorization , and retro- authorization of visits.… more
- Trinity Health (Ann Arbor, MI)
- …as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides ... financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy… more
- Trinity Health (Troy, NY)
- …the clinical utilization reviews with the facilities Per Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Part time **Shift:** Day Shift **Description:** **Insurance Specialist - Samaritan Hospital - PD Days** **Position Summary:** The Insurance … more
- Abbott (Plano, TX)
- … you are responsible for facilitating and assisting Abbott patients with the pre -certification, pre -determination and authorization process necessary as a ... currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days...policies as outlined by Abbott. + Verify benefits, complete authorization requests promptly. + Timely follow up for requested… more
- Entergy (Russellville, AR)
- **Job Title:** Procurement Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to work in the ... for this posting. This position may be filled as a Site Procurement Specialist I, II, III, or Senior, depending on qualifications.** **JOB SUMMARY/PURPOSE:** The… more
- Integra Partners (Troy, MI)
- …experience with Utilization Management within the healthcare industry, including pre - authorization and utilization reviews, along with medical claims ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Entergy (New Orleans, LA)
- **Job Title:** Category Management Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to work ... for this posting. This position will be assigned as a Category Management Specialist I, II, III, or Senior based on education, relevent experience, and success… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited...the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. *… more
- Trinity Health (Brighton, MI)
- …as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides ... financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy… more
- Boehringer Ingelheim (Charleston, WV)
- **Description** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Army National Guard Units (Virginia Beach, VA)
- …SERVICE POSITION. This National Guard position is for a Range Operations Specialist (Title 32) (Permanent), Position Description Number D2798000 and is part of ... VA MTC, National Guard. Responsibilities As a Range Operations Specialist (Title 32), GS-0301-09, you will perform the below...operations functions directly related to the safe and efficient utilization of the Range and Training Area (RTA) complex… more
- Modivcare (Greenville, SC)
- …benefit utilization issues, verification, waivers, urgent trip requests, pre - authorization , process denials, eligibility, mileage validation, meals & ... fit for you! Modivcare is looking for an Exceptions Specialist who will receive, research, and process transportation service...and outbound). + Investigates complex issues to confirm the utilization . + Identifies and monitors utilization and… more
- Penn Medicine (Bala Cynwyd, PA)
- …**Location:** WFH fully remote **Hours:** Mon-Fri office hours **Summary:** + The Pre -Registration Specialist reports to the Supervisor of Financial Clearance. ... regard to financially clearing inpatient and outpatient based procedures. The Pre -Registration Specialist is responsible for insurance verification, benefit… more
