Prior authorization jobs in Durham, NCCreate job alerts

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Certified technician provides general support to the pharmacist by receiving, reviewing, compounding and dispen...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   About Duke HomeCare & Hospice   Pursue your passion for ...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   About Duke HomeCare & Hospice   Pursue your passion for ...

Job Description MD/DO - Internal Medicine Physician Treat Yourself in the Triangle of North Carolina The Community - Raleigh-Durham-Chapel Hill, NC You won't find a better range of ways to treat yourself than in the Triangle of North Carolina. This region boasts award-winning inns, ho...

Job Description MD/DO - Family Medicine Physician Treat Yourself in the Triangle of North Carolina The Community - Raleigh-Durham-Chapel Hill, NC You won't find a better range of ways to treat yourself than in the Triangle of North Carolina. This region boasts award-winning inns, hote...

Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care. Job Title: Clinical Review Nurse - Prior Authorization. ...

The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. Triages and prioritizes cases and other assigned du

Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively. Strengths in teamwork, multi-disciplinary collaborat...

Travel-related expenses covered.A-rated medical malpractice insurance provided.Dedicated recruiter for future travel opportunities.Locum tenens jobs (AKA travel jobs) are contract roles designed to fill gaps in care at facilities and hospitals over a specific timeframe.These assignments can range...

Previous work experience (1+ years) as a clinical nurse is preferred; at least one year previous work experience as a registered nurse is required for a CN2 role. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program with...

To become an Independent Contractor agent the following are required:. Pass a background and credit check completed for Liveops. View our background and credit check requirements .

Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills. Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvem...

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ...

Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke University Health Syste...

PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses.The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, plan...

Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project. Current registration with North Carolina State Board of Nursing ...

As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. As a Clinical Manager, you ...

Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commiss...

Maverick Trading, a 26-year old proprietary trading firm, is looking to hire experienced (5+ years) and entry-level (1+ years) equity and option traders.We are a global team, united by the common goal of trading excellence.Our culture? Relaxed but ambitious.Join us and trade the firm's capital wh...

Knowledge of scope of the registered nurse, licensedpractical nurse and unlicensed staff Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their fami...

Experience with Java is a plus but not required. Here, you're not just another trader; you're part of a global family striving for financial excellence. Access to experienced traders and a wide range of courses.

New Graduate Nurses: 8 weeks of paid orientation and monthly nurse residency classes and the completion of a unit-focused project. Duke University Hospital seeks to hire an experienced Registered Nurse who will embrace our mission of. Plan, provide and document professional nursing care, utilizin...

Join our community of seasoned traders, and benefit from ongoing coaching, educational courses, and regular meetings.

Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program ...