- Cardinal Health (Harrisburg, PA)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... research associated with issues regarding the payer, physician's office, and pharmacy to resolve issues swiftly **_Qualifications_** + 3-6 years of experience,… more
- Highmark Health (Harrisburg, PA)
- …authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all accurate information is ... RESPONSIBILITIES** + Handle all inbound phone requests from providers or pharmacy for all inbound Prior Authorization requests.Use multiple software systems and… more
- Highmark Health (Harrisburg, PA)
- …then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the ... or pharmacists. **ESSENTIAL RESPONSIBILITIES** + Obtain requests from provider or pharmacy via phone, fax, or provider portal (online). Use multiple software… more
- Gentiva (Harrisburg, PA)
- …part of Gentiva, an industry leader in hospice and palliative care. Our clinical teams serve as an extension of physicians' care, partnering with them and ... PCP + Support hospice referral as appropriate + Document timely clinical records on all patients including screening/assessment findings, physician orders, progress… more