Prior Authorization Nurse Jobs in USA

DMOS is building a Prior Auth team! The department will initially focus on inpatient surgery prior authorization to kick off the this full-time position you will work alongside your current team of navigators to help standardize and support an outstanding patient experience. To thrive in this role...

OverviewBaylor Scott & White Institute for Rehabilitation*A joint venture with Select Medical & Baylor Scott & White*Prior Authorization Specialist ( RN or LPN ) - Part-Time WeekendsThis position will work every Saturday and Sunday 8 hours each dayThis is primarily a work-from-home position but to b...

OverviewBaylor Scott & White Institute for Rehabilitation*A joint venture with Select Medical & Baylor Scott & White*Prior Authorization Specialist ( RN or LPN ) - Part-Time WeekendsThis position will work every Saturday and Sunday 8 hours each dayThis is primarily a work-from-home position but to b...

DescriptionThis is a hybrid position and must be located within 100 miles of a Mayo Clinic campus (Arizona Florida Rochester all MCHS MN all MCHS WI sites) for occasional on-site expectations based on business needs.Provides direction to professional and supervisory staff in the Revenue Cycle. Parti...

University of Iowa Health Cares department of Patient Financial Services is seeking a Revenue Cycle Coordinator (RCC) supervisory position that may have 3-11 direct reports that can be a mix of Merit or P&S positions and will serve as a resource for complex billing issues. You must have outstanding...

Our CompanyPharMericaOverviewJoin our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer anon-retail pharmacy environment. Our organization is in high growth mode which means advan...

Company DescriptionGuardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012 Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives dise...

A rare opportunity to assist with obtaining insurance approval for patient MRI scans is available at Des Moines Orthopaedic Surgeons P.C. We are seeking individuals with prior experience submitting prior authorizations to insurance companies for advanced imaging and/or experience working with insura...

Job Description SummaryPharmacy manager position to join our infusion team to focus on Prior Authorization of infusion and clinic medications and entry of medication therapy plans in this role you will play a crucial part in oversight of a team of pharmacists and certified pharmacy technicians who...

Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job participates in the development planning implementation and operation of departmental projects and services; works with pharmacy director to establish short and long range departmental goals and objectives; assumes responsib...

DescriptionData Science Prior Authorization Reporting Lead (DSIS3/SPI) InternalThis opportunity is internal and available to current HCA employees only.The Data Science Prior Authorization Reporting Lead applies advanced statistical techniques mathematical modeling and specialized programming to ex...

Department:02380 WFBMG University Group Practice: Winston Salem Stratford Executive Pk Charlois - UrologyStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Monday - Friday 8:00 am to 5:00pm no holidays or weekends.Pay Range:$22.90 - $34.35Major Responsibi...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

Position Summary:Responsibilities include completing proper forms paperwork and submitting back up documentation to obtain Pre authorizations and referrals. Employees will provide a variety of services to maintain the day-to-day operations of the department. RequirementsEducation:High School Diploma...

OverviewLPN or CMA - Medication Prior Authorization SpecialistFull-time postion with benefits (40 hours per week)Daytime hoursThe Medication Prior Authorization Specialist (Clinical) is responsible for obtaining timely prior authorizations for medications to ensure uninterrupted patient care. This r...

SummaryResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely complete and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy Benefit Manage...

Overview:Looking for a senior Epic analyst with strong experience in referrals and prior authorization workflows with supporting knowledge of Cadence scheduling and patient access operations.Key Requirements:5 years of Epic experience with referrals and prior authorization workflowsStrong understand...

We have a great opportunity for an on-site Pharmacy Prior Authorization Specialist in Pittsburgh PA Company Overview: We are the worlds first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

McKesson is an impact-driven Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights products and services that make quality care more accessible and affordable. Here we focus on the health happiness and well-being of you and those we serve we care...