Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Provide clerical, secretarial, word processing, and other support services as assigned. Demonstrate understanding of applicable business departments' operations, drivers, and/or procedures Receive information (e.g., medical records; physician letters; general correspondence) from stakeholders (e.g., providers; clients) Verify information (e.g., member information; type of

Perform a variety of back office activities to assist providers in conducting quality clinics, including administering injections, diagnostic testing, phlebotomy, quality surveys and various other procedures Delivers exceptional customer service and maintains established quality control standards You'll be rewarded and recognized for your performance in an environment tha

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of

Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of

Provides leadership to and is accountable for the performance of Clinical Quality Consultants and data abstractors Direction and guidance on network clinical quality performance and improvement Provide analytical interpretation of quality performance and support business plan development to measure and improve performance Be the subject matter expert for quality related a

Lead and be accountable for a team of Fulfillment Pharmacy Staff to process prescription orders through Fulfillment, Packing and Shipping, and Supply Inventory Operations (35 45 employees) Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results Leads efforts in recruiting, selecting, orienting, and training employees

Maintains up to date knowledge of specific registration requirements for all areas, including but not limited to Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration Properly identifies the patient to ensure medical record

Receives, evaluates, accepts and executes the initial patient intake process to assure that patient verification, assessment, teaching and the ongoing scheduling of nursing services occur in a timely manner Reviews patient chart for admission criteria, assessing patient's needs will be met, therapy is appropriate and environment is safe Assures timely communication with o

First point of contact for our patients. Sets the tone for a positive experience Exhibits empathy, courtesy, competence, efficiency and care Schedules appointments and procedures, following standard guidelines Uses Multiple computer and phone systems to fulfill patient needs over phone Verifies patient information, while documenting in their Electronic Health Record (EPIC

This is a hands on repair position that requires solid debugging and troubleshooting skills within Electrical, Mechanical, Pneumatic and PLCs Install, setup, troubleshoot, and maintain various mail order pharmacy equipment and prototyping/testing new improvement projects Ability to troubleshoot/repair/replace faulty electrical components such as Motors, relays, switches,

Distributes drugs prescribed by physicians and other health practitioners Provides information to customers about medications and their use Focuses on providing a superior level of customer service Ensures compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by State Boards of Pharmacy Any other usual and c

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Process, pack, and ship outgoing pharmacy orders, ensuring drug, related supplies, and patient collateral (education materials) are included May also perform ordering and inventory / warehouse duties, including proper storage and appropriate refrigeration of perishable product Properly pack product as required by Standard Operating Procedures Daily box preparation work Cr

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c