Remote Registered Nurse — Prior Authorization Specialist
Spectraforce Technologies Inc
Raleigh, NC
- Remote job
Spectraforce Technologies is seeking a Remote Registered Nurse II for an 8+ month assignment. The role involves clinical criteria prior authorization setup based on client policies, requiring an active RN license and PBM experience. Responsibilities include crafting questions for prescribers, composing denial rationales, and consultative support regarding setup requirements. Strong proficiency in Microsoft Office, especially Excel, is essential. The ideal candidate should possess problem-solving and collaborative skills to enhance service efficiency. #J-18808-Ljbffr Spectraforce Technologies
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Registered Nurse — Prior Authorization Specialist in Raleigh, NC vacancy
- ...seeking a Utilization Review Specialist (LVN) to conduct medical... ...necessity for services requiring prior authorization. This role involves liaising... ...a Licensed Vocational Nurse certification and extensive... ...utilization review. Flexibility for remote work is provided for Texas...Remote workHourly pay
Crains Cleveland
Pearland, TX15 hours ago - ...dedicated professional to work from home in Pennsylvania, focusing on patient medication assistance. This role involves obtaining prior authorizations, researching assistance programs, and communicating with the care team to ensure seamless patient care. Candidates should...Remote workWork from home
Geisinger Health System
New York, NY2 days ago $53k - $71k
...IQVIA is seeking a Bilingual Patient Access Specialist to support patients throughout their... ...patient access to therapy, assisting with prior authorizations, and providing high-quality customer service. The position offers a remote work option, requiring a compliant home...Remote workWork from homeIQVIA
Orlando, FL8 days ago- ...Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery....Remote workFull timeWork at officeWork from home
ReWorks Solutions
New York, NY2 days ago $19.26 - $23 per hour
...Prior Authorization Specialist The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion...Remote workFull timeCasual workWork from homeMonday to FridayShift workMDX Consulting LLC
United States1 day ago- ...looking to add a Medication Specialist to our Specialty Pharmacy Services... ...patients.ABOUT THE ROLE (Remote, work from home)THE... ...FOLLOWINGReviewing medication authorizations submitted by clientsPerforming... ...information or guidance related to prior authorization...Remote workFull timeWork from home
Visante® Inc.
Saint Paul, MN4 days ago - ...Specialty-Pharmacy in Houston, TX is looking for a Pharmacy Prior Authorization Specialist. This full-time position focuses on ensuring patients... ...Candidates should have at least 1 year of relevant experience. Remote work may be possible after initial training. The company...Remote workFull timeRelocation package
CareMed Specialty Pharmacy
Houston, TX2 days ago $40k - $46k
...Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy. This remote position requires expertise in specialty infusion prior authorization and customer service skills. Candidates must have at least 2 years of relevant experience...Remote workSoleo Health
New York, NY1 day ago- ...America’s heartland. Facility: Remote SD (Central Time) Location:... ...levels of responsibility and authority. Communicates well downward,... ...from a nationally accredited nursing program preferred, including,... ..., medical necessity, or prior authorization process. If...Remote workFull timePart timeImmediate startWork from homeShift workDay shift
Sanford Health
Sioux Falls, SD3 days ago - ...Soleo Health Inc is seeking a Clinical Review Coordinator for a remote full-time position. You will ensure timely and accurate clinical reviews and approvals while collaborating with various departments. The ideal candidate should have experience in specialty infusion...Remote workFull time
Soleo Health
Frisco, TX1 day ago - ...Job Title: Authorization Specialist Company: Senior Care Solutions | Medicare Home Health Location:... ...Type: Full Time (Hybrid – in‑office and remote work) About Us Senior Care Solutions is... ...of care. Key Responsibilities Obtain prior authorizations for Medicare and other...Remote workFull timeWork at office
Senior Care Solutions Inc
Boca Raton, FL2 days ago $16.75 - $21.75 per hour
Cardinal Health is seeking a Senior Coordinator for Prior Authorization, responsible for managing payer approvals for durable medical equipment. This fully remote position requires 3-6 years of healthcare experience, particularly in prior authorization or similar roles...Remote workHourly payCardinal Health
Des Moines, IA4 days ago- A leading educational institution seeks a dedicated Oncology Prior Authorization Case Manager to handle utilization review and authorization for oncology patients. This remote role requires a bachelor’s degree and at least 2 years of relevant experience, preferably in...Remote work
University of Miami
Doral, FL4 days ago - ...A health technology company is seeking a prior authorization and eligibility expert to work remotely with ABA healthcare providers. This role involves verifying patient benefits, completing prior authorizations, and collaborating with product teams to improve processes...Remote workFull time
The Voluntary Protection Programs Participants' Association,...
New York, NY2 days ago - ...Soleo Health Inc is hiring a Prior Authorization Coordinator to support its Specialty Infusion Pharmacy, working remotely from the USA. This position requires specialty infusion prior authorization experience, with responsibilities including managing prior authorizations...Remote work
Soleo Health
Frisco, TX3 days ago - A national quality improvement organization is seeking a Remote Customer Service Representative to support their prior authorization process. This role involves handling customer inquiries, resolving issues while adhering to organizational policies, and maintaining a professional...Remote work
Arsenault
Houston, TX4 days ago $23 - $25 per hour
...Boulder Care**, located in Portland, Oregon, is looking for a Prior Authorization Specialist. In this role, you will ensure patients receive timely medication approvals by obtaining insurance prior authorizations and troubleshooting submissions with healthcare providers...Remote workHourly payBoulder Care
Portland, OR2 days ago$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift workProvidence Health & Service
Oregon, WI4 days ago- ...A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...Remote workFull time
Santa Barbara Cottage Hospital
New York, NY2 days ago $22 - $28.6 per hour
...a Part-time Infusion Intake Specialist to join our Team. The Infusion... ...and insurance information prior to their scheduled infusion... ...or injection. Ensures needed authorizations have been obtained and are in... .... This team primarily works remotely from home supporting our...Remote workHourly payPart timeWork at officeLocal areaWork from homeWashgi
Seattle, WA4 days ago- ...Virginia Commonwealth University Health is looking for a Reimbursement Specialist to improve revenue collection for high-cost medications requiring prior authorization. This position involves managing prior authorizations, coordinating Patient Assistance Programs, and...Remote workFull time
Virginia Commonwealth University Health
Richmond, VA2 days ago - ...technology company that handles eligibility & benefit checks and prior authorizations for specialty healthcare providers. Our mission is to... ...position, which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients ability...Remote workHourly payFull timeFor contractors
The Voluntary Protection Programs Participants' Association,...
New York, NY2 days ago - ...improve lives.ABOUT THE POSITION (Remote)The Medication Access Specialist plays a vital role in Visante's managed... ...by handling medication authorizations, conducting benefits investigations... ...assistance programs. They gather prior authorization details, support coverage...Remote workFull timeWork at office
Visante® Inc.
Saint Paul, MN4 days ago - ...A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves... ...include health insurance and paid time off, and the position is remote with varying shifts as needed. #J-18808-Ljbffr...Remote workShift work
Santa Barbara Cottage Hospital
New York, NY1 day ago - Silna Health, Inc. is seeking a prior authorization and benefits verifications expert in New York, NY. You'll collaborate with ABA and mental... ...strong understanding of insurance policies. This full-time remote role offers a competitive hourly rate with potential for permanent...Remote workHourly payPermanent employmentFull time
Silna Health, Inc.
New York, NY2 days ago $40 per hour
...Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40.00 per hour... ...Part D. Qualifications Required: Prior experience in home infusion. Preferred... ...and paid holidays. Opportunity for remote work based on qualifications....Remote workHourly payFull timeThe Misch Group
Los Angeles, CA9 days ago- ...Working remotely in a full-time capacity, the Prescription Prior Authorization Specialist will manage the submission of prior authorizations to ensure patients receive their prescriptions in a timely manner while verifying insurance coverage and maintaining accurate documentation...Remote workFull timeWork at office
Virtual Vocations Inc
United States1 day ago - ...Job Title: Prior Authorization Specialist Location: 100% Remote (Must work EST hours) Duration: 3-Month Contract Position Summary: We are seeking a Utilization Management Coordinator to support the Utilization Management team with authorization processing, provider...Remote workContract work
Lumen Solutions Group Inc.
United States5 days ago - ...This role involves direct communication with nursing and medical staff, advocating for patients, and... ...in medical insurance verification and authorization, along with a high school degree or equivalent. The role is remote and offers a range of benefits, including medical...Remote workFull time
The US Oncology Network
Norfolk, VA16 hours ago $18.67 - $21.96 per hour
...Description (e.g. M-F 8am to 5pm) M-F 8 hr shift in between Remote Work Notification ATTENTION: Lumicera is unable to offer... ...and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor,...Remote workTraineeshipFlexible hoursShift workSanta Barbara Cottage Hospital
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Registered Nurse — Prior Authorization Specialist. Be the first to apply!
Related searches