Follows all prior authorization procedures to ensure a timely and accurate process on each prior authorization. Are you ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Clinical Pharmacist with the Specialty Medical Prior Authorization team!. The Cli...
Utilization review, prior authorization, Care management, Case management, interqual, ncqa, ncqa standards. Utilization review,prior authorization,Care management. California RN License BLS AHA Must be experienced with Care Management Prior Authorizations Acute Outpatient experience - Five or more (...
The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admission. The Nurse Reviewer will be r...
Job Title: Prior Authorizations Registered Nurse (RN). The UM Prior Authorization Nurse is responsible for evaluating referrals for medical services to determine medical necessity and appropriate course of action. Utilizing independent judgment, extensive medical knowledge, and adherence to clinical...
Disqualifiers: No case management or prior authorization experience as an LVN**. The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty ref...
Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally recognized and evidence-based standards. ...
Stability Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Moreno Valley, CA. If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!. Stability HealthCar...
The Billing Specialist is responsible for. Obtain approvals; prepare bill reports, fee and disbursement summary, and prepare final bill Communicate with clients to resolve billing/collection issues. Collaborate with Lawyers on engagement letters; and maintain client billing folders. ...
One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. We are proud of our robust continuing education options and opportunities for skills diversification and ...
The Clinical Pharmacist-Inpatient works under the supervision of the Pharmacy Division Supervisor to provide a wide scope pharmaceutical service. Assists in the training and education of new pharmacists, technicians, students, and residents. PharmD is required if Pharmacist is assigned to work in NI...
Job ID: 1406657BRTitle: Pharmacist (Full or Part Time)Company Indicator: WalgreensEmployment Type: Flexible hoursJob Function: RetailFull Store Address: 800 E LUGONIA AVE,REDLANDS,CA,92374-02550-07976-SFull District Office Address: 800 E LUGONIA AVE,REDLANDS,CA,92374-02550-07976-SExternal Basic Qual...
Job Description:STG International (STGi) is currently seeking a Registered Nurse Care Manager to provide services at our Community Based Outpatient Clinic. The primary purpose of this position is to serve as the Registered Nurse Care Manager, who represents the interests of Veteran patients in all a...
The Clinical Pharmacist-Inpatient works under the supervision of the Pharmacy Division Supervisor to provide a wide scope pharmaceutical service. Assists in the training and education of new pharmacists, technicians, students, and residents. PharmD is required if Pharmacist is assigned to work in NI...
Support and follow established safety, security, quality Customer Service Representative, Customer Service, Representative. Maintain courteous, professional contact with co-workers, customers, vendors, and community at large. ...
Hospital Corporation of America (HCA) is a community of94,000 Registered Nurses and 38,000 active physicians. Graduationfrom accredited school of nursing for Registered Nurse preparation. Twoyears of experience in a Radiation Oncology Department as a Staff RN. ...
The Clinical Pharmacist I will serve as the medication management expert by providing accurate drug information to providers, nurses, and other clinical staff. We are seeking a Clinical Pharmacist I. It is expected that the Clinical Pharmacist I will collaborate with colleagues and provide excellent...
If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you!As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing...
The Clinical Pharmacist-Outpatient HDS provides pharmaceutical care services. Rotates through pharmacist on-call responsibilities. Active California Pharmacist License required. ...
Current CA State licensure as a Registered Nurse required. The RN demonstrates the abilityto assess their own professional role performance, current knowledge of theoryand principles related to discipline specific practice, and the ability to use apopulation based approach to determine patient needs...
Customer Service Representative Responsibilities: Meet and communicate with customers daily to provide relevant product and service information, document complaints and questions, and process order requests Quickly qualify and build rapport with potential new customers to establish open lines of com...
The billing specialist will perform a variety of contractual, financial, and general billing tasks to assist in the management of all matters relating to financial government and non-government financial agreements. The Billing Specialist will work closely with the Corps Officer and Division directo...
The Clinical Pharmacist is responsible for providing pharmaceutical assessments, treatments, and care for the neonate, pediatric, and adolescent patient population served. Required: Minimum one (1) year of clinical pharmacy experience in an acute care setting. Preferred: Completion of an ASHP-accred...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Provides approved authorizations and documentation to contracted billing company and monitors when re-authorization is needed. Able to maintain a high level of understanding of pharmacy home infusion/home hea...