Prior authorization jobs in Rego Park, NYCreate job alerts

Prior Authorization Specialist - TEMP CONTRACT (indefinite). Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone. Document and escalate any issues related to prior authorization requests (e. ...

Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. Works with...

The Prior Authorization Review Technician is responsible for inputting, providing notification for and reviewing prior authorization requests. The Prior Authorization Review Technician is also responsible for entering and auditing overrides input in the Pharmacy Adjudication system, answering mem...

Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria. Works with...

Prior authorization process, CoverMyMeds experience and other prior authorization platforms, prior authorization insurance forms, knowledge/understanding of pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordinat...

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...

The Prior Authorization Review Technician is responsible for inputting, providing notification for and reviewing prior authorization requests. The Prior Authorization Review Technician is also responsible for entering and auditing overrides input in the Pharmacy Adjudication system, answering mem...

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 “Prepare for your...

REMOTE - can sit anywhere as long as they have NY Pharmacy licenseHiring Manager Summary: Candidate to conduct prior authorizations on medical benefit drugs aka J-Codes. NY licensed Pharmacist with experience completing Prior Authorizations on behalf of a Health Plan. The Clinical UM Pharmacist i...

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in Orange County, New York, 10990!.CRNAs needed for Charming Community Hospital - $250K Base - Out early most days!.A beautiful and charming community awaits you for this CRNA opening.This area is located just 55 m...

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in New York, New York, 13057!.Please ask for David Siegel at 954.Come to an exciting central New York Community that boasts various colleges and universities while offering four-season fun and more! This is an ene...

BAYADA Home Health Care is seeking a Registered Nurse (RN) Nurse Resident for a nursing job in Brooklyn, New York. BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center’s Commission on Accre...

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in West Central, New York, 14020!.For further details about this opportunity or any other openings nationwide, please contact Katherine Mecias at or call 954.An independent CRNA group is seeking to have a CRNA joi...

Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Endo/GI Registered Nurse (RN) for an exciting new travel job in Elmira, NY 14905. If you are an experienced Endo/GI Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know...

NurseStat is looking for a Long Term (Travel) Intensive Care Unit - ICU RN in. We offer competitive pay for any Nurse and LPN referrals that we can put to work for us!. ...

TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Webster, New York, 14580!. Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. LRS Healthcare has flexible travel RN jobs nationwide with top facilities. ...

TravelNurseSource is working with LRS Healthcare to find a qualified NICU RN in New York, New York, 10029!. ...

Travel Nursing: Emergency Department Albany, NY.Location:         Albany, NY.Start Date:       10/28/2024.Shift Details:   12H Nights (7:00 PM-7:30 AM).Length:            13 WEEKS 13 weeks.Apply for specific facility details....

Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. ...

Nursing supervisors provide a critical link between hospital management and clinical care, overseeing patient-care operations, assigning and monitoring staff nurses, and identifying and implementing quality improvements. Nurses can learn supervisory skills through supervisor education or special ...

Must Have 2+ Years of recent Case Manager experience. But the one thing nurse after nurse has said they want and don't have is someone in their corner. ...

TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Rochester, New York, 14642!. Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. LRS Healthcare has flexible travel RN jobs nationwide with top facilities. ...

Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced PCU Registered Nurse (RN) for an exciting new travel job in New York, NY 10025. If you are an experienced PCU Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’r...

Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in NY, and has Case Management experience. RN Registered Nurse License/Certification. ...