- 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 ... Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …ineligible to apply. Responsibilities VA Careers - Pharmacy: https://youtube.com/embed/Fn\_ickNBEws a. Clinical - Direct Patient Care Activities: 1) Functions as an ... telephone, secure messaging and other modalities to provide patient care b. Clinical - Indirect Patient Care Activities 1) Reviews patient medication regimens for… more
- Hartford HealthCare (Farmington, CT)
- …obtain prior authorization via telephone and/or portals and provides necessary clinical documentation to ensure authorization is obtained prior to the ... the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required to… more
- Sharp HealthCare (San Diego, CA)
- …and then presenting it to the supervisor, supervisor point of contact, or supporting clinical specialist (OT Spec III) for resolution in a timely manner.Consults ... and anticipated outcomes.Courtesy and customer service will be measured by OT Spec III or supervisor observation, physician and peer feedback, SharpStar nominations… more
- Covenant Health Inc. (Knoxville, TN)
- …referrals and new orders on patients. Responsible for verification, prior authorization , and Recertification of insurance. Negotiates pricing with case managers. ... position will report to either the Director-Outcomes Management or Clinical Supervisor (Central Intake). Recruiter:Bradley Sparks|| ###@covhlth.com ||### Responsibilities… more
- Bon Secours Mercy Health (Richmond, VA)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** As a faith-based and patient-focused ... where associates want to work and help communities thrive. **Durable Medical Equipment Spec - Physician Office - Tuckahoe Orthopaedic & Physical Therapy - MRMC at… more
- AdventHealth (Calhoun, GA)
- …assigned to their role * Accountable for maintaining a working relationship with clinical partners to ensure open communications between clinical , ancillary, and ... area in order to offer prompt patient service and availability for all clinical partner registration needs. Arranges relief coverage during extended time away from… more
- University of Rochester (Rochester, NY)
- …restricted access drugs in assigned clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit ... restricted access drugs in assigned clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit… more
- Community Health Systems (Gadsden, AL)
- …care with referrals and/or authorizations for services. Works with providers and clinical staff to ensure all orders have been submitted and appropriate ... of the referral provider. + Provides and/or obtains required authorization for services as needed and works with patient...insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All… more
- Bon Secours Mercy Health (Youngstown, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary of Primary Function/General Purpose of ... proper patient types. Collects and accurately documents initial pre-certification / authorization information if available when scheduling + Accurately obtains /… more