Pre-Authorization Nurse Specialist

Job Title: Pre-Authorization NurseWe are seeking a skilled Pre-Authorization Nurse to join our team at MJHS. As a Pre-Authorization Nurse, you will play a critical role in ensuring that our patients receive the necessary medical services and treatments in a timely and efficient manner.Responsibilities:Perform case reviews and process requests for elective...

Job Summary:The Pre-Authorization Nurse will play a crucial role in ensuring the timely and compliant provision of services to our health plan members. This position requires a detail-oriented and organized individual with excellent communication skills to work collaboratively with various disciplines to ensure regulatory standards are met.Key...

Job Title: Pre-Authorization Unit SupervisorAt MJHS, we are committed to providing high-quality healthcare services to our patients and members. We are seeking a highly skilled and experienced Pre-Authorization Unit Supervisor to oversee the day-to-day functioning of our MLTC/DSNP pre-authorization functions.Responsibilities:Monitor regulatory requirements...

Job Summary:The Pre-Authorization Unit Supervisor is responsible for overseeing the day-to-day functioning of the MLTC/DSNP pre-authorization functions. This includes reviewing data to monitor regulatory requirements, providing direction for complex cases, and acting as a liaison with interdepartmental communication.Key Responsibilities:Monitor regulatory...

Job Title: Authorization SpecialistAt RWJBarnabas Health, we are seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary prior authorizations for their procedures, surgeries, and office visits.Key Responsibilities:Obtain necessary prior...

Job OverviewWe are seeking an experienced Insurance Law Specialist to join our team and help drive the success of our Law360 Insurance Authority product. This role will work closely with our sales team to provide expertise on Insurance law, conduct pre-sales product demonstrations, and assist in the securing of sales.Key Responsibilities:Assist the Law360...

Discover a Rewarding Career with RendrRendr is a leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City.We strive to provide world-class, value-based healthcare with kindness at over 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.Why Choose...

Job Title: Clinical Nurse - Pre-Surgical Center SpecialistJob Summary:We are seeking a skilled Clinical Nurse to join our team at Memorial Sloan Kettering. As a Clinical Nurse, you will be responsible for providing high-quality patient care and ensuring the smooth operation of our Pre-Surgical Center.Key Responsibilities:Assure completion of required...

Job SummaryWe are seeking a highly organized and detail-oriented Medical Office Secretary to join our team at NYU Langone Health. As a key member of our Occupational Health Services department, you will provide exceptional support to our patients and staff, ensuring seamless operations and excellent patient care.Key ResponsibilitiesProvide reception...

Job SummaryWe are seeking a highly skilled Pharmacist to join our team as a Prior Authorization and Appeals Specialist. In this role, you will be responsible for reviewing clinical coverage determinations and appeals for various lines of business, including Commercial and Medicare. You will work closely with internal and external Medical Directors to provide...

Job DescriptionMedical Authorization Coordinator Role at Phaxis - Support ServicesAs a Medical Authorization Coordinator, you will play a crucial role in ensuring seamless authorization processes for our clients. Your expertise in Medicare and Medicaid coverage, as well as your experience in setting up and assigning authorizations, will be invaluable to our...

Prior Authorization RepresentativeMedix is seeking a skilled Prior Authorization Representative to join our team in Soho, NYC. As a key member of our healthcare operations team, you will be responsible for verifying patient benefits and coverage details, managing prior authorization requests, and serving as a liaison between patients, healthcare providers,...

Empowering New Yorkers through Healthcare ExcellenceMetroPlusHealth is dedicated to delivering exceptional healthcare services to the residents of New York City. Our mission is to provide high-quality care that empowers individuals and communities to thrive. If you share our passion for healthcare and are committed to making a difference, we invite you to...

Job SummaryWe are seeking a highly organized and detail-oriented Pacu Pre-Op Manager FT to join our team at NYU Langone Health. As a key member of our Occupational Health Services department, you will be responsible for providing exceptional support to our patients and staff.Key ResponsibilitiesProvide reception assistance, including greeting patients,...

Job Title: Prior Authorization Pharmacy TechnicianMetroPlusHealth is a leading healthcare provider in New York City, dedicated to delivering high-quality services to residents of the five boroughs. As a Prior Authorization Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments.Job...

Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team as a Prior Authorization Review Technician. In this role, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making. Your exceptional organizational and communication skills will enable you to...

Job OverviewWe are seeking a highly qualified Pre Kindergarten Education Specialist to join our team at Infinity Educational Programs in Marine Park. This full-time position requires a team player with a Master's Degree in Early Childhood Education or a related field. The ideal candidate will have a strong background in curriculum development and...

Job Summary:As a Pharmacy Technician I Prior Authorization Specialist, you will play a crucial role in the prior authorization process, providing exceptional phone assistance to providers, pharmacies, and members. Your primary responsibility will be to take in-bound calls, utilizing your professional and courteous demeanor to navigate the criteria-based...

Job SummaryAs an IT Specialist with the Federal Aviation Administration, you will play a critical role in the Pre-Production Environment team. Your primary responsibility will be to configure and test client computer applications, ensuring seamless integration with our systems.Key ResponsibilitiesConfigure and test client computer applicationsCoordinate...

Job Summary:The Pharmacy Technician I Prior Authorization Specialist takes in-bound calls from providers, pharmacies, and members, providing professional and courteous phone assistance through the prior authorization process. This role involves maintaining accurate documentation of reviews, transferring clinical questions and escalations to the pharmacist...