Prior authorization jobs in Passaic, NJCreate job alerts

Prior experience in Prior Authorization. Apply now to play a vital role in streamlining the prior authorization process and enhancing patient care remotely. Remote Prior Authorization Pharmacist.

Partners with administrative and clinical personnel to complete prior authorization, medication refills and referrals related to patient continuity of care.

Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. Prior Authorization Specialist/Payor Relations Specialist - This is an onsite positi...

Prior Authorization Specialist.

Utilizing multiple software systems to complete Medicare appeals case reviews. Acquiring and maintaining basic knowledge of relevant and changing Med D guidance. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

The Prior Authorization Review Technician is also responsible for entering and auditing overrides input in the Pharmacy Adjudication system, answering member inquiries and assisting in all relevant Pharmacy department deliverables. PTCB or ExCPT Pharmacy Technician Certification, required. Associ...

Responsibilities:**- Review and evaluate medication requests remotely to ensure compliance with established guidelines- Collaborate with healthcare providers, payers, and pharmacy teams to facilitate the prior authorization process- Communicate remotely with patients and healthcare professionals ...

Partners with administrative and clinical personnel to complete prior authorization, medication refills and referrals related to patient continuity of care. Ensures the appropriate translation services or equipment is in place prior to the start of visit  . Reviews and imports any “Prepar

Our rapidly growing Cardiology practice is seeking a motivated individual to join as our Eligibility and Prior Authorizations Specialist. In this role, you will work directly with an interdisciplinary team of healthcare professionals to verify insurance eligibility and obtaining prior authorizati...

The Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care, policy, and procedure. Implements the plan of care interventions and medical plan of care as appropriate. Our healthcare system is comprised of two hospitals, an al...

Medicus has partnered with a leading hospital in northern New Jersey with an opening for a CRNA to assist their team.Schedule: Monday-Friday, 10 or 12-hour shifts.Cases: Heavy OB, ENT, & healthy peds.If you are interested, please apply to learn more.Work with a dedicated recruiter invested in yo

Licensed as a Registered Nurse (RN) in the State of Florida. The Clinical Support Resource RN supports high quality, patient-centered care by offering feedback, guidance, and mentoring to new graduate nurses and/or nurses that are transitioning to NCH. The Clinical Support Resource Nurse provides...

Medicus has partnered with a leading hospital in northern New Jersey with an opening for a CRNA to assist their team.Schedule: Monday-Friday, 10 or 12-hour shifts.Cases: Heavy OB, ENT, & healthy peds.If you are interested, please apply to learn more.Work with a dedicated recruiter invested in yo

Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care, policy, and procedure.

Medicus has partnered with a leading hospital in northern New Jersey with an opening for a CRNA to assist their team.Schedule: Monday-Friday, 10 or 12-hour shifts.Cases: Heavy OB, ENT, & healthy peds.If you are interested, please apply to learn more.Work with a dedicated recruiter invested in yo

Temp (2-3 months) with potential to extend/go permanent.Serve visitors by greeting, welcoming, and directing them appropriately.Notify relevant parties when visitors arrive.Answer a multiple line phone system, manage calls by routing them to the proper extensions and/or taking messages.Accept del...

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MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care.We believe that Health care is a right, not a privilege.If you have compassion and a collaborative spirit, work with us.You can come to work being proud of what you do every day.About NYC Health + Hospitals...

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Required to complete Annual Medicare TrainingMinimum QualificationsMust have a High School Diploma or GED, College Degree or coursework preferred2-3 years of Sales/Customer Relations experience requiredMedicare Sales experience preferredPublic speaking experience. The Medicare Telephonic Sales Re...

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

Work closely with the Outreach Representatives, Customer Service Representatives Eligibility Representatives and other MetroPlusHealth personnel to resolve member concerns regarding complaints and potential enrollments or disenrollment’s. The Medicare Telephonic Sales Representative is involved w...

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

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care.We believe that Health care is a right, not a privilege.If you have compassion and a collaborative spirit, work with us.You can come to work being proud of what you do every day.About NYC Health + Hospitals...