Prior authorization jobs in Durham, North Carolina (NC) State

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 dutie...

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 dutie...

Pharmacy Technician II - Patient Assistance Program and Prior Authorization (Full-Time). This pharmacy technician will complete medication Prior Authorizations and participate in the Patient Assistance Program for the Department of Pharmacy ensuring patient access to prescribed medications and dr...

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......

UNC Health is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Chapel Hill, North Carolina. As a first responder, the rapid response nurse will assess and evaluate patients in collaboration with the bedside nurse, the first call LIP and a respiratory therapist. Rep...

TravelNurseSource is working with Host Healthcare to find a qualified Med/Surg RN in Chapel Hill, North Carolina, 27514!. Travel nurses often play crucial roles in responding to healthcare crises or natural disasters. ...

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As a travel allied professional or a traveling nurse with CoreMedical Group, you are eligible for some of the best benefits in the industry, including:. ...

Nurse Reviewer - Remote North Carolina. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilizati...

Nurse Reviewer - Remote North Carolina. We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilizati...

UNC Health is seeking a Registered Nurse (RN) Acute Care for a nursing job in Chapel Hill, North Carolina. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting. L...

Family Dollar - 5178 WAKE FOREST RD [Retail Associate / Cashier / Team Member] As a Customer Service Representative at Family Dollar, you will: Be responsible for providing exceptional service to customers; Greet customers and assist them with selection of merchandise; Complete cash register tran...

Duke University Health System has 6000 + registered nurses* Quality of Life: Living in the Triangle!* Relocation Assistance (based on eligibility)Registered Nurse (Experienced) - Duke University Hospital - Neurosurgery Operating Room - Durham* Newly Hired RNs (with at least one year Nursing exper...

In this pivotal role, you will oversee all facets of our production lines including fiber lasers, press brake, stamping, welding and fabrication, ensuring seamless and efficient operations while maintaining top-notch product quality and compliance with safety standards. ...

General Medicine Stepdown/PCURegistered Nurse (Experienced or New Grad)Nights or Rotating shift available!Commitment Bonus available!Duties and Responsibilities of this Level* Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders ...

Develop and implement processes to enhance clinic operations and practices for ongoing quality improvement* Develop, document, implement and monitor written policies and procedures reflective of the ambulatory health care site mission settlement and objectives* Our Managers work in partnership wi...

Atria Senior Living - [Administrative Assistant / Secretary] As a Receptionist at Atria Senior Living, you'll: Answer incoming telephone calls, determine purpose of callers, and forward calls to appropriate personnel or department; Retrieve messages from voice mail and forward to appropriate pers...

Director of Pharmacy or Pharmacy Operations Managers. Function as the pharmacy manager by carrying out supervisory responsibilities including training of associates, planning, assigning or directing work, addressing complaints and solving problems. Take responsibility of the overall operation of ...

In this role you will manage first-line supervisors that are responsible for managing the daily operations of a team of Collection Representative who are responsible for taking and making payment arrangements. Responsible for managing coaches/supervisors who manage the day-to-day operations of Ag...

Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System has 6000 + registered nurses. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encou...

Assists the Executive VP in day-to-day administrative tasks, including managing calendars and routing visitors and calls appropriately. Executive Assistant reporting directly to senior management. ...

Director of Pharmacy or Pharmacy Operations Managers. Function as the pharmacy manager by carrying out supervisory responsibilities including training of associates, planning, assigning or directing work, addressing complaints and solving problems. Take responsibility of the overall operation of ...

Manages and deploys the operational strategy, business processes, and systems for overall distribution operations, including order fulfillment, warehousing, inventory management, and transportation. Utilizes data-driven analytical tools and systems to continuously monitor operations, identify ine...