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  • $36 per hour

     ...Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses...  ...Hybrid Work Environment offering a balance of fieldwork and remote flexibility Flexible Scheduling with no 12-hour shifts or... 
    Remote work
    Part time
    Immediate start
    Relocation package
    Flexible hours
    Rotating shift

    Sevita

    Lees Summit, MO
    2 hours agonew
  • $20.7 - $29.93 per hour

     ...and attorneys in a timely, effective manner. This is a 100% remote full-time position working 40 hours per week. Shifts are from...  ...2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months... 
    Remote work
    Full time
    Local area
    Immediate start
    Shift work

    Minnesota Staffing

    Minneapolis, MN
    1 day ago
  •  ...Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well...  ...organization forward. Requirements: MD/DO degree required Remote position, but candidate must live in the greater L.A. area... 
    Remote work
    Live in
    Work from home
    Relocation package

    Curative

    Los Angeles, CA
    7 hours ago
  • $24 - $25 per hour

     ...Customer Service Rep II Location: Virtual CT (Remote) Duration: 24 months Payrate: $24.00-25.00/hr The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician... 
    Remote work

    Artech

    Staten Island, NY
    5 days ago
  •  ...responsibilities include managing financial counseling, insurance prior-authorizations, and payment plans. Additionally, this position coordinates...  ...Schedule: Shift: Monday-Friday, 8:00 AM - 4:30 PM. Remote Work: Eligibility for a hybrid schedule (2 days remote per... 
    Remote work
    Full time
    Monday to Friday
    Shift work
    2 days per week

    Saint Luke's

    Kansas City, MO
    1 day ago
  • $250k - $300k

     ...We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not...  ...meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with... 
    Remote work
    Permanent employment
    Live in

    Integrity Healthcare

    Northridge, CA
    2 days ago
  •  ...population. This 13-week locum assignment begins 100% remote , with the intention to transition into a permanent hybrid...  ...improvement Key Responsibilities Review and determine prior authorizations, appeals, and medical necessity Conduct peer-to-peer... 
    Remote work
    Weekly pay
    Permanent employment
    Temporary work
    Locum
    Interim role
    Local area
    Immediate start

    Locum Jobs Online

    San Antonio, TX
    1 day ago
  • $4,000 per month

     ...signs Processing medication refill requests Managing prior authorizations Acting as a key liaison between patients, families, and providers...  ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification... 
    Remote work
    Daily paid
    Full time
    Part time
    Work at office
    Relocation package
    Flexible hours

    MaineHealth

    Portland, ME
    2 days ago
  •  ...Pharmacist II to join their Clinical Pharmacy Services team. This remote position focuses on administering drug utilization review...  ...calls to assess drug therapy appropriateness, and making prior authorization decisions. Candidates should have a Bachelor of Science in Pharmacy... 
    Remote work
    Work experience placement

    UMass Med School

    Westborough, MA
    3 hours agonew
  •  ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex... 
    Remote work

    US Tech Solutions

    Florida
    2 days ago
  •  ...assessments and coordinate necessary prescriptionssuch as antibioticsunder provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients,... 
    Remote job

    QualDerm Partners

    Lebanon, TN
    3 days ago
  • $17.85 - $26.42 per hour

     ...Job Opportunity: Remote Certified Pharmacy Technician Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these roles... 
    Remote job
    Hourly pay
    Work experience placement
    Work at office

    Idaho Staffing

    Meridian, ID
    5 days ago
  •  ...Veterinary Care Representative (Remote) Chewy Veterinary Care is hiring full-time Veterinary Care Representatives...  ...appointment-related needs Conduct follow-ups and outreach for prior medical requests and authorizations Research and resolve customer issues using active... 
    Remote work
    Hourly pay
    Full time
    Local area
    Flexible hours

    Chewy

    Richardson, TX
    2 days ago
  • $55 per hour

     ...Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role...  ...35 words per minute. Work Environment This is a fully remote position, available to candidates residing in the United States... 
    Remote work
    Contract work
    Temporary work
    Monday to Friday
    Rotating shift

    Actalent

    Saint Paul, MN
    1 day ago
  •  ...Pharmacies to obtain patient benefits. Understands and completes Prior Authorization calls within the In Process queue Completes call sheets...  ...plan with company matching. Flexible schedules with both remote and hybrid work options. Professional development and... 
    Remote work
    Contract work
    Work at office
    Monday to Friday
    Flexible hours

    eBlu Solutions, Inc.

    Louisville, KY
    26 days ago
  •  ...conditions appropriate for outpatient psychiatry. You will have full time assistance to handle administrative and clinical tasks (prior authorizations, scheduling, obtaining outside records, etc.) Should enjoy practicing independently Candidate should be computer/EMR/e-... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Boston Neurobehavioral Associates

    United States
    7 hours ago
  • $145 per hour

     ...care. With a flexible part-time schedule, the option to work remotely, and a meaningful patient population, this role is ideal for...  ..., treatment planning, and clinical documentation • Manage prior authorizations and medication-related approvals • Treat a community... 
    Remote work
    Part time
    Flexible hours
    Day shift

    Smith Arnold Partners

    New York, NY
    1 day ago
  •  ...for a Revenue Cycle Specialist to join their team! This is a remote work position that requires residency in KY or IN...  ...as well as pre and postbilling. Obtains pre-determinations, prior authorizations, and retro authorizations when required bypayor. Responds to... 
    Remote work
    Work experience placement
    Shift work
    Day shift

    Baptist Health

    Louisville, KY
    1 day ago
  •  ...Primary) Education Professional Travel Job Description AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews. Compensation is paid by review completed. Specialists Needed: Hematologist/... 
    Remote work
    Full time
    Contract work
    Local area
    Work from home

    Arkansas Foundation for Medical Care

    United States
    4 days ago
  • $22 - $26 per hour

     ...as needed. Coordinate care : Manage patient medication prior authorizations, and assist with outgoing referrals and scheduling....  ...patient care needs as part of our hybrid care model, including remote check-in and clinician support when needed. Grow with us... 
    Remote work
    Local area
    Monday to Friday

    knownwell

    Atlanta, GA
    7 hours ago
  •  ...Social Workers, Nurses, and more). Dedicated prescription and prior authorization support, with pharmacy and medication access coordinators to...  ...your goals. Additional Job Details (if applicable) Remote Type Onsite Work Location 307 West Central... 
    Remote work
    Full time
    Part time
    Flexible hours
    Shift work

    Mass General Brigham

    Natick, MA
    1 day ago
  •  ...patient care, ensuring accurate verification of insurance, prior authorizations, and understanding of patient financial responsibility. The...  ...catalyst for change, and promotes creative solutions by serving as a role model. **The position offers a remote work option.... 
    Remote work

    HMH HOSPITALS CORPORATION

    Edison, NJ
    3 days ago
  • $67.5k

     ...Job Opportunity At Highmark Inc. Job Summary: This position reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician... 
    Remote work
    Work at office
    Local area

    Columbus Staffing

    Columbus, OH
    3 hours agonew
  •  ...weekends, no major holidays. This position will be primarily remote with occasional on site requirements. Training will take...  ...Youll Do Reviews and submits requests for medication prior authorization. Retrieves prescription information from the electronic medical... 
    Remote work
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Monday to Friday
    Shift work

    Elliot Health System

    Manchester, NH
    15 hours ago
  •  ...Required: -CA RN License -prior UM experience for insurance companies is a MUST!! -EPIC & InterQual exp *position is remote* Conducts preauthorization, concurrent, and retrospective...  ...referral review - manages prior authorizations and retrospective referrals as documented... 
    Remote work
    Contract work

    Zenex Partners

    Sacramento, CA
    2 days ago
  •  ...patients. Support recruitment for HF clinical trials. During Remote Monitoring: Download interrogation from device website,...  ...Manage prescription refills as directed by provider. Complete prior authorizations, patient/insurance requested forms, assist with provider... 
    Remote work
    Relocation package
    Monday to Friday
    Day shift

    Duke Clinical Research Institute

    Raleigh, NC
    2 days ago
  • $28.94 - $51.63 per hour

     ...and you will have the flexibility to work remotely as you take on some tough challenges. * Primary Responsibilities: Authorization review and entry for HCBS authorizations using...  ...experience Utilization management, prior authorization, and case management experience... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Arlington, VA
    3 days ago
  • $17.98 - $32.12 per hour

     ...relationship. Manages a high volume of calls most often from a remote setting for a defined service line and is responsible for...  ...requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Live in
    Work at office
    Local area
    Monday to Friday
    Shift work

    UnitedHealth Group

    Worcester, MA
    5 days ago
  •  ...guidelines, submit and manage referral and authorization requests/requirements when necessary,...  .... They will provide support and process prior authorization appeals and denials, when...  ...Schedule: Monday-Friday, 8:30am - 5:00pm. + Remote position. + Full benefits such as... 
    Remote work
    Temporary work
    Work at office
    Relocation package
    Monday to Friday

    Minnesota Staffing

    Minneapolis, MN
    1 day ago
  • $6,000 per month

     ...Responsibilities: Review approximately 20 prior authorization (auth) requests daily , Monday-Friday. Complete all reviews and submit...  ...auth for your review Additional Notes: This is a remote, part-time contract role Reviewers are expected to... 
    Remote work
    Contract work
    Part time
    Monday to Friday

    Heritage Sierra Medical Group

    United States
    4 days ago