Prior authorization

WellMed, part of the Optum family of businesses, is seeking aClinical Pharmacist - Prior Authorizations to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for...

Get to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is...

Get to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is...

Job DetailsLevel Experienced Job Location Annex - San Antonio, TX Position Type Full Time Education Level High School Salary Range $16.00 - $23.36 Hourly Travel Percentage None Job Shift Day Job Category Health Care DescriptionGet to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not...

JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE, OR LVN) For this position we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS REQUIRED. CALIFORNIA IS NOT A COMPACT STATE AT THIS TIME. Out of state candidates must work CALIFORNIA...

Seeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 18 physicians and 7 clinic locations. DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Interpret insurance benefits and calculate patient responsibility Review chart documentation to ensure patient meets medical policy guidelines...

Seeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 18 physicians and 7 clinic locations. DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Interpret insurance benefits and calculate patient responsibility Review chart documentation to ensure patient meets medical policy guidelines...

Registered Nurse RN Supervisor Prior Authorization Healthcare TexasWellMed, part of the Optum family of businesses, is seeking a Registered Nurse RN Supervisor Prior Authorization or UM Healthcare to join our team in Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...

Job DetailsLevel Experienced Job Location Annex - San Antonio, TX Position Type Full Time Education Level High School Salary Range $16.00 - $23.36 Hourly Travel Percentage None Job Shift Day Job Category Health Care DescriptionGet to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not...

Job Title: Authorization Specialist - Clinical Reimbursement ExpertJob Overview: We are seeking an experienced Authorization Specialist - Clinical Reimbursement Expert to join our team at Sports Medicine Associates of San Antonio. As a key member of our Business Office, you will play a vital role in ensuring seamless patient care and financial...

MeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe, you'll be...

MeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe, you'll be...

*Candidate MUST be in PST and have an operational desktop to apply* *NO MAC or MACBOOKS** Job Summary: Under general supervision this person is responsible for ensuring that insurance benefits are verified, patient responsibility estimates are calculated and communicated to the patient and/or family, and authorization is secured timely for all assigned...

At MeBe, a provider of evidence-based therapies for children with autism and other special needs, we're seeking an experienced Insurance Authorization and Clinical Operations Coordinator to join our growing clinical services team.About the RoleThis is a unique opportunity to make a meaningful impact in the lives of our patients and their families. As an...

Summary The South Texas VA Health Care System, San Antonio, Texas is currently seeking a full-time Physician (Physical Medicine and Rehabilitation Chief). The PM&R Service Chief will provide comprehensive patient care of consultative inpatient and outpatient patient care and management that supports the mission through administrative leadership and oversight...

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you...

The opportunity You will design, build, and implement core software systems that leverage and improve the ngrok platform. The architecture already in place serves millions of customers worldwide. They’re eagerly awaiting your work! Successful candidates are curious learners: you will eagerly pick up new technologies and be excited by problems without...

Position Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. Duties 1. Collaborates with...

Job Description:The Leidos team is seeking a skilled Senior Industrial Security Representative/ Facility Security Officer to support our ongoing projects. As a key member of our security team, you will be responsible for safeguarding classified information and equipment, managing clearance prescreening, verification, and maintenance, and implementing...

POSITION SUMMARY/RESPONSIBILITIES The Meds to Beds (MTB) Technician is responsible for enrolling patients into the bedside medication delivery program. In addition, the Meds to Beds technician will coordinate the filling, delivery, counseling, and billing of prescriptions to the patient's rooms prior to discharge. As a certified pharmacy technician, the...