Prior authorization jobs in Sunnyside, 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...

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...

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...

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...

LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology CRNA in Albany, New York, 12180!.For details about this opportunity, please contact Katherine Mecias at or call 954.Voted one of the Best Regional hospitals in the US, is seeking both full time and part time CRNAs.You ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Manager, Administrative for a nursing job in Bronx, New York. The Montefiore Administrative Nurse Manager maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and St...

An exciting nurse anesthesia job is now available in upstate New York. ...

Specialty: Certified Registered Nurse Anesthetist. ...

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Geneva, New York, 14456!. 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. America, as well as t....

NurseStat is looking for a Long Term (Travel) Med - Surg/Tele RN in. We offer competitive pay for any Nurse and LPN referrals that we can put to work for us!. ...

Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced CVICU Registered Nurse (RN) for an exciting new travel job in Albany, NY 12208. If you are an experienced CVICU Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you...

The Telemetry Nurse carries out patient assignments and assumes primary care responsibilities that promote health, prevent illness, restore health, and ease suffering for patients released from intensive care, but still require close monitoring for signs of physical distress or danger. Telemetry ...

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....

Client in NY seeking Registered Nurse - MedSurg / Telemetry (RN) to work Weekends, Days (01:00-02:00). 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:. ...

Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm &....

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain hig...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you appl...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Bronx, New York, 10457!. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...