Clinical Eligibility Specialist

{"title": "Clinical Eligibility Specialist", "content": "Job SummaryWe are seeking a skilled Clinical Eligibility Specialist to join our team. As a key member of our multi-disciplinary team, you will be responsible for assessing clinical eligibility, prior authorizations, and providing interval case consultation by reviewing medical records, assessing client...

Job SummaryWe are seeking a skilled Nurse Reviewer II to join our team at UMass Chan Medical School. As a key member of our multi-disciplinary team, you will be responsible for assessing clinical eligibility, prior authorizations, and providing interval case consultation by reviewing medical records and assessing client needs.Key ResponsibilitiesContribute...

Job SummaryWe are seeking a skilled Nurse Reviewer II to join our team at UMass Chan Medical School/ForHealth Consulting. As a key member of our multi-disciplinary team, you will be responsible for assessing clinical eligibility, prior authorizations, and providing interval case consultation by reviewing medical records, assessing client needs, and providing...

{"title": "Clinical Pharmacy Specialist", "content": "Job SummaryUnder the general direction of the Manager or Consultant Pharmacist Team Lead, the Clinical Pharmacy Specialist functions as a team member of the drug utilization review programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide...

{"Responsibilities": {"Essential Functions": [{"Participate in the orientation and training of junior Consultant Pharmacist staff members."}, {"Review clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance."}, {"Decide in real-time via telephone communications with pharmacies the...

Job Title: Consultant Pharmacist IIAt UMass Med School, we are seeking a highly skilled Consultant Pharmacist II to join our Clinical Pharmacy Services team.Job Summary:The Consultant Pharmacist II will function as a team member of the drug utilization review programs, providing clinical expertise in prior authorization for member prescriptions and client...

{"Responsibilities": {"Essential Functions": [{"Participate in the orientation and training of Consultant Pharmacist I staff to ensure a smooth onboarding process."}, {"Review clinical documentation submitted by treating physicians and pharmacists to determine medical necessity and program compliance, exercising increasing independence in decision-making."},...

Job Title: Consultant Respiratory MedicineWe are seeking a highly skilled Consultant Respiratory Medicine to join our team at Provide Medical.Job Summary:The successful candidate will be responsible for conducting daily ward rounds, managing two clinics per week, and performing administrative duties, including reviewing referrals.Responsibilities:Conduct...

About the PositionUnlock your potential in a premier private practice environmentAre you a skilled and ambitious plastic and reconstructive surgeon seeking the opportunity to elevate your career? Advanced Reconstructive Surgical Alliance (ARSA) is a nationwide consortium of like-minded professionals fostering an environment where collaboration, growth, and...

Cortica is seeking a Healthcare Front Desk Specialist to enhance our operational efficiency. As the Healthcare Front Desk Specialist, you will represent Cortica as families and patients arrive at our facility. In this dynamic environment, your role will encompass various daily operational responsibilities that are vital to the clinic's success, leveraging...

Position OverviewThe Clinical Research Operations Analyst plays a crucial role in the management of clinical research activities within the organization. This position involves:Analysis and Evaluation: Conducting thorough assessments of clinical research protocols, ensuring compliance with established standards.Budget Management: Overseeing and maintaining...

About the RoleAs a Patient Access Specialist at KabaFusion, you will play a critical role in ensuring seamless patient onboarding and care coordination. Your primary responsibility will be to process referrals, verify insurance eligibility, and obtain necessary authorizations for acute and chronic therapies, including IVIg, TPNs, and antibiotics.You will...

About the RoleAs a Patient Access Specialist at KabaFusion, you will play a critical role in ensuring seamless patient onboarding and care coordination. Your primary responsibility will be to process referrals, verify insurance eligibility, and obtain necessary authorizations for acute and chronic therapies, including IVIg, TPNs, and antibiotics.You will...

Healthcare Access Specialist - HybridOverviewUnder the general oversight of the Care Coordination Manager, this role is pivotal in orchestrating the medical access services for Justice Health & Equity (JHE). Responsibilities encompass effective communication and collaboration with both clinical and administrative personnel within federal correctional...

Job Title: Consultant Respiratory MedicineWe are seeking a highly skilled Consultant Respiratory Medicine to join our team at Provide Medical.Job Summary:The successful candidate will be responsible for conducting daily ward rounds, managing two clinics per week, and performing administrative duties, including reviewing referrals.Responsibilities:Conduct...

Job SummarySunrun is seeking a highly skilled and experienced Warehouse Operations Specialist to join our team. As a key member of our logistics team, you will be responsible for ensuring the efficient delivery of materials to our customers. This role requires strong organizational and communication skills, as well as the ability to work independently and as...

About ARSA - Advanced Reconstructive Surgery AllianceARSA is in search of a highly skilled plastic and reconstructive surgeon specializing in Mohs reconstruction.With a robust network of facilities, our surgeons are leaders in intricate reconstructive operations. We are dedicated to providing tailored care to a diverse patient population.Ideal Candidate...

About the JobWe are seeking a skilled General Dentist to join our team at North American Dental Group. As a General Dentist, you will be responsible for providing high-quality dental care to our patients, working closely with our team to ensure excellent patient outcomes.ResponsibilitiesEducate patients regarding their comprehensive treatment optionsMaintain...

About the OpportunityWe are seeking a skilled General Dentist to join our team at North American Dental Group. As a key member of our practice, you will have the opportunity to deliver exceptional dental care to our patients and contribute to the growth and development of our team.ResponsibilitiesEducate patients regarding their comprehensive treatment...

Position OverviewCertified Nursing Assistants (CNAs) are sought for weekend shifts at a long-term care establishment.ResponsibilitiesProvide essential care and support to residents.Assist with daily living activities.Ensure a safe and comfortable environment for all individuals.RequirementsApplicants must possess a valid CNA certification. Please note that...