55 Prior Authorization jobs in United States

Monterey Park, California, US (Hybrid)

$21.00 – $26.00 / hour

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department.

Charlottesville, Virginia, US (Hybrid)

Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician (Part-Time, On-Site/Hybrid) - Psychiatric Experience preferred…

United States (Remote)

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…

United States (Remote)

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.

United States (Remote)

About Us Thesis is building the AI-powered care team platform for infinitely scalable clinical capacity.

United States (Remote)

Description JOB DESCRIPTION: The remote licensed practical nurse (LPN) is responsible for assisting the onsite MA, LPN, RN in collaboration with the…

United States (Remote)

Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose?

United States (Remote)

$24.00 – $32.00 / hour

Clinical Support RN – Referrals & Results (Remote – California or New York) Job Type: Part-Time (10–20 hours/week, flexible hours) Location: Fully…

United States (Remote)

$75–90K / year

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD.

United States (Remote)

$56.4–90.4K / year

Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…

United States (Remote)

$100–120K / year

About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD.

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…

United States (Remote)

$150–300K / year

[We show compassion to heal minds.] 🧠 About Legion Health Legion Health is a technology-forward psychiatry company delivering world-class outpatient…