Prior authorization jobs in Pasadena, CACreate job alerts

If interested, please apply and submit your resume to POSITION SUMMARY The RN Utilization Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team to ensure effective, timely, and compliant revie...

A leading healthcare technology organization is seeking experienced Remote Pharmacy Technicians for an 8+ week contract with the potential to extend. Interpret pharmacy benefit plans and explain coverage in simple terms. Active Pharmacy Technician License (required).

Job DescriptionMedica Talent Group is excited to share this short term temp assignment opportunity with you! The RN Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Skilled Nursing Facilities (SNF) in person or telephonically. This position ...

Job DescriptionDescriptionAstrana Health is looking for a Utilization Review Nurse to assist our Health Services Department in reviewing referral/authorization requests and ensuring patients meet medical necessity criteria. This position will work M-F from 8:30 a.m. to 5 p.m, as well as rotating ...

Job Description Who are we? 360 Behavioral Health provides exceptional care for individuals with autism and developmental delays. With over 30 years of expertise, we are a leading authority in ABA-based behavioral health services. Founded by a husband-and-wife team, our mission is to transform ...

Job Description Travel Registered Nurse – Case Manager (Day Shift) Location: Providence Little Company of Mary Medical Center – San Pedro, CA Address: 1300 W 7th St, San Pedro, CA 90732 Start Date: 09/08/2025 Duration: 13 weeks Shift: Day Shift | 5x8-Hour | 08:00 AM – 4:30 PM Guaranteed Hours: 4...

Job Description SUMMARY OF RESPONSIBILITIES: The Resident Advocate Security Monitor is responsible for providing services including assisting clients with follow-up with crisis intervention, basic house clean-up and maintenance, conflict resolution, and ensures safety and security to participant...

Job Description Join a fast-paced and highly respected cardiology practice dedicated to providing exceptional cardiovascular care. We are currently seeking a detail-oriented and patient-focused EKG Technician who will also take the lead on scheduling select hospital-based procedures for our physi...

Job Description Clinicare Pharmacy is accepting applications for a Clinical Pharmacist with an ambulatory care/comprehensive disease and medication management focus. This position will be reporting to the Director of Pharmacy, while working in the Advanced Practice Pharmacy Care Center (Clinicare...

Job Description Are you passionate about patient care and interested in leadership opportunities? Cedars-Sinai Fertility and Reproductive Medicine Center, one of the nations premiere academic leaders in the field is looking for a nurse leader to join our expert team. Interested in using your expe...

Job Description Are you a sharp, highly organized professional who thrives in fast-moving environments and takes pride in helping leaders stay focused and effective? Our dynamic CPA firm is looking for a dedicated Personal Assistant to our Executive to be a trusted partner in operations, client c...

Job Description Who are we? At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Beha...

Job Description Arixa is a respected private credit investment manager with $1.8B in Assets Under Management. Our strategy is to lend on single family and multifamily projects across the United States providing our investors a compelling fixed income return. We leverage our substantial balance sh...

Job DescriptionWho We Are Dudek is a leading environmental, planning, and engineering firm that help public and private clients plan, design, and build projects that improve communities’ built and natural infrastructure. Founded in 1980, Dudek has grown steadily to more than 800 professionals acr...

Job DescriptionDescription: Status: On-Call, Hourly Non-Exempt Welcome to TEACH-LA: Building the Future of Early Childhood Education! ABOUT TEACH-LA: TEACH-LA is a groundbreaking workforce development initiative designed to foster the growth of the Early Childhood workforce in Los Angele...

Job Description Job Summary: The Home Health Intake Coordinator is responsible for managing all aspects of the intake process for new patients referred to home health services. This includes receiving referrals, collecting and verifying patient information, coordinating with referral sources, ve...

Job Description MVE + Partners designs influential and award-winning projects throughout the world. Our practice is diverse with an eclectic portfolio of successful architecture, planning, and interior design assignments. Our team comprises a talented group of individuals, equally entranced by ar...

Job DescriptionCompany Description THE COMPANY Continental develops pioneering technologies and services for sustainable and connected mobility of people and their goods. Founded in 1871, the technology company offers safe, efficient, intelligent, and affordable solutions for vehicles, machine...

Job Description The Position: The role of teachers at ICEF is not only to teach and develop expertise as an educator but to be a part of a team that embraces the challenge of building a culture of community and success that can grow and persist. Our teachers must believe in and be committed to t...

Job Description The Position: The role of teachers at ICEF is not only to teach and develop expertise as an educator but to be a part of a team that embraces the challenge of building a culture of community and success that can grow and persist. Our teachers must believe in and be committed to t...

Job DescriptionMedica Talent Group is excited to share this Temp To Hire opportunity with you! We are looking for experienced LVN Case managers seeking an opportunity to get their foot in the door with a well known organization. Our client offers growth and an exciting workplace to join along wit...

Job Description Under the supervision of the Data Quality Manager, the Patient Engagement Coordinator (PEC) is responsible for improving patient access and health outcomes by conducting proactive outreach and closing gaps in care for preventive and chronic disease measures. The PEC engages patien...

Job DescriptionAbout the Role: We are seeking experienced software engineers to support the development and evaluation of Large Language Models (LLMs) for real-world software engineering use cases. This hands-on role involves reviewing, analyzing, and ranking AI-generated code, helping improve th...

Job Description Job Description: Prior Authorization & Referral Coordinator Position Overview: OPN is seeking a highly organized and proactive Prior Authorization & Referral Coordinator to join our clinical and care coordination teams. The ideal candidate will play a critical role in ensuring ...

Job Description MVE + Partners designs influential and award-winning projects throughout the world. Our practice is diverse with an eclectic portfolio of successful architecture, planning, and interior design assignments. Our team comprises a talented group of individuals, equally entranced by ar...

Job Description The Position: The role of teachers at ICEF is not only to teach and develop expertise as an educator but to be a part of a team that embraces the challenge of building a culture of community and success that can grow and persist. Our teachers must believe in and be committed to t...

Job Description Provide efficient and accurate information to prior authorization requests. Ensure that correct benefits, co-pays and financial responsibility are provided to Prior Auth requestors. Education and/or Experience: • 2-4 years of experience with HMO referrals and prior authorizatio...

Job Description Job Summary: The Curriculum Coordinator will work under the direct supervision of the assigned Clerkship Director(s), the Clerkship Program Manager, and the Assistant Dean of Medical Education. A Curriculum Coordinator is responsible for assisting in developing, organizing, and d...

Job DescriptionBenefits: • 401(k), • Opportunity for advancement, • Paid time off, • Training & development

Job Description Position Title: Authorization Specialist II Department: Quality Assurance Reports To: QA Supervisor POSITION SUMMARY Under the general supervision of the Quality Assurance Supervisor, the Authorization Specialist II focuses on managing contract patient authorization status...

Job Description Ameri Hospice is seeking an experienced and caring full-time LVN Intake Coordinator This is a full-time position. The ideal candidate for this position is tech savvy, extremely organized, patient, and flexible, with great interpersonal skills. The Hospice LVN Intake Coordinator p...

Job Description Assignment Information: Medical Enterprise: Cost Center: TBD PCC: 20773, 20774 and 20775 Address where the work is being performed 2011 N. Soto St, Los Angeles, CA 90033, 2nd Floor 100 % - On Site, no remote opportunities Job Title: Transplant Financial Coordinator Number of need...

Job Description:\n\nSupport and promote LACHC’s mission to follow Christ by loving and serving our neighbors through comprehensive, quality healthcare. The Care Coordinator (CC) will work with clinic patients to coordinate the full range of physical health, behavioral health, and community-based ...

Job Description Arrowhead Pharmaceuticals, Inc. (Nasdaq: ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therap...

Job DescriptionDescription: Controller – UTC/Eulex Location: On-site – Monterey Park, CA Reports to: General Manager Quantic UTC/Eulex is a trusted U.S. manufacturer of multilayer ceramic capacitors (MLCCs) and high-frequency ceramic capacitors, supporting demanding applications across aero...

Job Description JOB DESCRIPTION Position: Medical Biller/Collections Pay Range: $24.00-$27.00 PER HR Reporting To: Reimbursement Manager Work Type: Hybrid POSITION SUMMARY: The Medical Biller’s responsibilities include tasks that require data analysis and sound judgment to help our patien...

Job Description The Position: The role of teachers at ICEF is not only to teach and develop expertise as an educator but to be a part of a team that embraces the challenge of building a culture of community and success that can grow and persist. Our teachers must believe in and be committed to t...

Job Description The Position: The role of teachers at ICEF is not only to teach and develop expertise as an educator but to be a part of a team that embraces the challenge of building a culture of community and success that can grow and persist. Our teachers must believe in and be committed to t...

Job DescriptionCompany Description At Beverly Hills BMW, a Sonic Automotive family dealership, you'll find the opportunities, resources, and support you need to grow and develop professionally. Our 100+ dealerships are concerned with more than moving inventory; they're committed to your success...

Job Description Bonmente is a state-of-the-art psychiatric clinic offering remote and in-person care. We want to talk to you about joining our team. We are a physician-owned and led practice with a small practice collegial feel. We are proud to say that since starting as a practice, we have had z...

Job DescriptionJob description Job Summary We are seeking a detail-oriented Prior Authorization/Insurance verification Specialist to join our team. The ideal candidate will be responsible for obtaining insurance authorizations and check eligibility for medical procedures and services, ensuring ...

Job DescriptionBenefits: • Paid Holidays, • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Paid time off Work Locatio...

Job Description Arrowhead Pharmaceuticals, Inc. (Nasdaq: ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therap...

Job Description Position Summary: This position provides an opportunity to operate with an independent nature and with a keen focus on quality care. In addition to clinic duties, as a Nurse Practitioner (NP) or Physician Assistant (PA) with Agile you will sharpen your leadership skills by joi...

Job Description This is a full-time on-site role for a Client Advisor at CH Jewelers/ TimeVallée in Arcadia, CA. The Client Advisor will be responsible for client relations, ensuring customer satisfaction, effective communication, customer service, sales assistance, and maintaining interpersonal ...

Job Description Location: Mission Hills, CA Type: Full-Time Industry: Healthcare Administration Are you passionate about helping others and making a difference in patients' lives—without being in a clinical setting? Join a dynamic healthcare team where your administrative skills and compassi...

Job DescriptionJob Description: The ideal candidate will execute front of the house restaurant management including, but not limited to, delegating tasks, leading and coaching, and excellent customer service in order to maintain efficient restaurant operations. The ideal candidate will possess s...

Vice President– Multi-Unit Luxury Resort – Puerto Rico (Based), Overseeing Caribbean & U.S. Properties Reports To: Chief Operating Officer (COO) Direct Reports: General Managers and Vice Presidents of individual resorts and hotels Position Overview: We are seeking a dynamic and seasone...