Prior Authorization Professional

Job Title: Prior Authorization Nurse">About the Company:">Brighton Health Plan Solutions, LLC is a leading provider of utilization management services to self-insured employers, Taft-Hartley Trusts, health systems, providers, and other third-party administrators. Our team is dedicated to delivering exceptional results and exceeding client expectations.This...

About UsAt UNC Health Care, we are dedicated to delivering exceptional patient care and improving the health and well-being of our diverse communities.Salary RangeThe estimated salary for this position is $17.50-$24.63 per hour (Hiring Range), with a standard hourly wage determined by experience and internal equity.Job OverviewThis role offers an exciting...

Company OverviewAs a leading healthcare provider, UNC Health Care is committed to delivering exceptional patient care and advancing the health and well-being of our diverse communities.Job SummaryWe are seeking a skilled Pharmacy Technician II to provide critical support to our pharmacists in a fast-paced clinical environment. The successful candidate will...

Job Title: Clinical Utilization Specialist">About the Role:">Brighton Health Plan Solutions, LLC provides utilization management services to its clients. The Clinical Utilization Specialist - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member's...

Company OverviewBecome part of a diverse and inclusive organization with a mission to improve the health and well-being of unique communities.Salary$17.50-$24.63 per hour (Hiring Range)Job DescriptionThe Certified technician provides general support to the pharmacist by receiving, reviewing, compounding, and dispensing medications under their supervision....

Join Our TeamWe are looking for a highly motivated and skilled Medical Lab Professional to join our team at UNC Health Care. As a Medical Lab Professional, you will be responsible for performing a variety of patient testing and administrative tasks in support of clinical activities in the UNCHCS laboratory.The ideal candidate will have a Bachelor's of...

About the RoleAs a Senior Healthcare Operations Manager at Brighton Health Plan Solutions, LLC, you will oversee the daily operations of the UM Coordinator team, providing direct guidance and support with authorization creation, caller escalation, and investigation of complex cases. The ideal candidate will have strong medical record review skills and prior...

About the RoleThis Nurse Anesthesia Care Professional position offers a unique blend of challenge and reward. Working closely with a talented team of healthcare professionals, you will be instrumental in providing high-quality anesthesia care to patients undergoing various medical procedures. With your extensive knowledge and skills, you will create a safe...

UNC Health Care OverviewUNC Health Care is a leading healthcare system dedicated to improving the health and well-being of our communities. With over 40,000 teammates across North Carolina, we offer a comprehensive range of medical services and cutting-edge treatments.Job TitleThis is a fantastic opportunity to join our team as a Pharmacy Technician. You...

Job Title: Certified Nursing Care ProfessionalWe are seeking an experienced Certified Nursing Care Professional to join our team at Liberty Healthcare and Rehabilitation Services.Job Summary:To provide exceptional care and support to our geriatric residents, assisting with daily living activities, personal hygiene, and other essential tasks as...

We are seeking a skilled Medical Laboratory Professional to join our team at UNC Health Care. As a key member of our Microbiology Laboratory, you will play a critical role in supporting the clinical activities and performing patient testing tasks.About the RoleThis full-time position offers a competitive salary range of $24.13-$34.70 per hour (MLT:...

About the RoleBrighton Health Plan Solutions, LLC seeks a highly skilled UM Coordinator to join our team. As a UM Coordinator, you will be responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit verification, gathering necessary clinical information from electronic medical records, and timely...

Job OverviewWe are seeking a highly skilled Housing and Facilities Services Assistant to join our team at Piedmont Commercial Advantage, LLC. This is a unique opportunity for a detail-oriented individual to work in a fast-paced environment maintaining a clean and orderly environment.Responsibilities:Maintain buildings in excellent condition through thorough...

We are seeking a skilled Laboratory Professional to join our team at KA Recruiting Inc. in the Raleigh-Durham area.Job SummaryThe successful candidate will be responsible for working as a Medical Technologist or Medical Laboratory Technician on a full-time, permanent basis with a shift of Monday to Friday from 3:00pm to 11:30pm.About the RoleThis exciting...

Job Title: Senior Anesthesiology ProfessionalAbout the RoleThis is an exciting opportunity to join our team as a Certified Registered Nurse Anesthetist (CRNA) in the Department of Anesthesiology at UNC Health Care. As a key member of our surgical services team, you will be responsible for providing high-quality anesthesia care to patients undergoing various...

**Job Title:** Community Pharmacy TechAbout UNC Health CareWe are an inclusive organization with over 40,000 teammates dedicated to improving the health and well-being of the unique communities we serve.The University of North Carolina Hospitals (UNCH) Department of Pharmacy Medication History Pharmacy Transition Specialists (PTS) team consists of advanced...

Job SummaryMight as Well Bar & Grill, a dynamic and fun fast-paced company under Fred Investments LLC, seeks an experienced line cook or lead line cook to join our team. For the line cook position, prior experience is highly valued but not mandatory as we offer comprehensive training for motivated individuals. In contrast, the lead line cook role demands...

Job Summary: Residential Services Inc. is seeking a part-time Direct Support Professional to work in our Life Options Vocational Day Program in Orange County. The successful candidate will provide support and care to individuals with intellectual and developmental disabilities, helping them develop life skills and increase their...

Company OverviewAt UNC Health Care, we strive to improve the health and well-being of our diverse communities. Our team of over 40,000 talented individuals is dedicated to delivering exceptional patient care.SalaryThe estimated annual salary for this position ranges from $36,800 to $49,500, based on a 40-hour workweek and considering the location in Chapel...

Job OverviewBrighton Health Plan Solutions, LLC is seeking a skilled UM Coordinator to manage the prior authorization process and ensure seamless communication between members, providers, and facility staff. The ideal candidate will possess excellent communication and problem-solving skills, with a solid understanding of medical terminology and third-party...