- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... alignment with Genmab's goals. The team is committed to helping customers by improving medication delivery.In order to be successful in this role, we are looking for… more
- Beth Israel Lahey Health (Westwood, MA)
- …who may benefit from pharmacy support. You will work closely with our Medication Authorization and Access team to triage patient cases efficiently and ... staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance… more
- Beth Israel Lahey Health (Needham, MA)
- …and pharmacy buyer when inventory levels are low. + Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF request from patient, completes ... not just taking a job, you're making a difference in people's lives.** The Medication Reconciliation Technician plays an integral role in helping to prevent patient … more
- University of Virginia (Charlottesville, VA)
- …patient access to specialty medications by conducting benefits investigations, prior authorization coordination, and financial assistance navigation. Working ... The Medication Access Specialty Pharmacy Technician supports timely and...technician scope of practice to the staff pharmacist or supervisor as needed. + Uses appropriate systems for processing… more
- Commonwealth of Pennsylvania (PA)
- Community Health Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5072018) Apply Community Health Nurse Supervisor Salary ... of Community Health Systems (BCHS) is seeking a dedicated Community Health Nurse Supervisor . If share in our mission to provide infrastructure for the implementation… more
- Johns Hopkins University (Belcamp, MD)
- …requirements and obtain necessary authorizations for clinical procedures, services, medication , and supplies. Acts independently with professionalism and efficiency. ... authoritatively about their coverage and payment responsibilities. + Obtains pre-certification/ authorization and/or referrals as required by payors for clinical… more
- Samaritas (Charlotte, MI)
- Position Details MENTAL / BEHAVIORAL HEALTH CLINICAL SUPERVISOR - CHARLOTTE Are you a licensed clinician with a passion for supporting recovery and leading others? ... Join our mission-driven team as a Clinical Substance Use Disorder Supervisor , where your leadership will directly impact lives and shape the future of behavioral… more
- Mayo Clinic (Phoenix, AZ)
- …Competitive retirement package to secure your future. **Responsibilities** The Technician Supervisor is a member of a broader local pharmacy supervisory team ... At least five years of applicable experience as a Pharmacy Technician Prior lead and/or supervisory experience preferred. Previous experience within Mayo Clinic… more
- YAI (Manhattan, NY)
- …associated documentation (eg, prescription fax forms). Update EHR accordingly. + Obtain Prior Authorization for non-covered medications or feeding supplies for ... Responsibilities: + Report to the nurse manager or nurse supervisor , at Premier HealthCare (PHC). Meet on a weekly...are checked, and computers are logged on and working prior to patient visit. If any issues report to… more
- Mount Sinai Health System (Greenlawn, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... an understanding of when to escalate calls to a supervisor . + Answers the telephone promptly and in a...assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services,… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... or outpatient/community pharmacies. Utilizes the electronic medical record (EPIC) to identify prior to admission or recent discharge medication lists in order… more
- Bassett Healthcare (Oneonta, NY)
- …learning to the team, and is a go to person for coworkers. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... and actions. Will meet patient needs as observed by Supervisor and as reported on patient satisfaction surveys. +...and form processing to meet Medicare regulations. + Obtains prior approval or prior authorization … more
- HCA Healthcare (Jourdanton, TX)
- …training for technical personnel. Performs accurate final dispensing check of all medication orders and completes required documentation. Informs supervisor or ... demonstrates proficiency in all pharmacist functions to include: Consulting on medication orders with nursing and medical staff, validating patient histories and… more
- University of Rochester (Rochester, NY)
- …are responsible for optimizing safe and effective drug therapy by assessing new medication orders for adult patients in the acute care setting. This is accomplished ... by performing medication order verification and providing evidence-based drug information to other healthcare professionals to optimize medication therapy and… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria set forth by pharmacy services chief. + Submits or troubleshoots prescription prior authorization requests as directed by a licensed pharmacist. + ... patient identification and completing prescription charges where necessary. + Reads prescriber's medication chart orders; selects the medication (s); places the … more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. PTCB certification 2. Specialty Pharmacy experience and/or prior authorization experience. 3. Knowledge of medication use in RA, GI, ... **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and… more
- Beth Israel Lahey Health (Needham, MA)
- …support outpatient clinics, the Pharmacy Technician will complete and submit Prior Authorization /Tier Exceptions and Patient Assistance Foundation requests. ... by ensuing that the right patients receive the right medication in a safe and timely manner under the...needed, in accordance with departmental procedures. Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF… more
- HonorHealth (AZ)
- …to patient queries, maintain records, assist in patient insurance authorization and manufacture assistance programs. Medication Reconciliation Technician: ... Center, 7400 E. Osborn Rd, Scottsdale Hours: Full-Time Days, Varied Hours Prior Inpatient Experience Preferred $5,000 Sign-on-Bonus Available! Looking to be part of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …division. + Serves as the primary contact for providers regarding authorization , information requests, claim inquiries and benefits. Provides triage assistance to ... and assists in handling member and provider correspondence related to authorization detail, disease conditions and/or care management program services. Assures… more
- UCLA Health (Santa Monica, CA)
- …in good standing. + Ability to interpret medical information required to perform prior authorizations. + Ability to interpret medication information required to ... of care and research authorizations clearance to train all community practice authorization coordinators. You will work closely with the Manager and Supervisor… more
