We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. ** Candidates MUST live in the state of CA, and be a licensed pharmacy technician with the CA Board of Pharmacy (BoP). ** Position Summary The Pharmacy Technician – Clinical Support Services position is responsible for utilizing their clinical knowledge and excellent customer service skills to provide our patients with the smooth service and delivery of medication and supplies to their homes. You will make a difference by bringing your personal touch and clinical experiences that will support our patient’s one on one care. Coram CVS/specialty infusion is a national leader in the home infusion field. As part of the team, you will have an important, uniquely rewarding role putting your Pharmacy Technician skills and experience to work in a closed-door practice setting. Responsibilities Partner closely with pharmacists to coordinate and process new patient referrals, prescription renewals, and ongoing refill management. Serve as a primary point of contact for patients, prescribers, and healthcare providers through frequent telephone communication regarding specialty medication refill scheduling, therapy continuation, and service coordination. Verify insurance coverage and ensure all requirements for dispensing and shipping, including prior authorization approvals when applicable, are in place before medication fulfillment. Contact
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In Home Traveler Np Or Pa in United States
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary ** Candidates MUST live in the state of CA, and be a licensed pharmacy technician with the CA Board of Pharmacy (BoP). ** The Pharmacy Technician – Clinical Support Services position is responsible for utilizing their clinical knowledge and excellent customer service skills to provide our patients with the smooth service and delivery of medication and supplies to their homes. You will make a difference by bringing your personal touch and clinical experiences that will support our patient’s one on one care. Coram CVS/specialty infusion is a national leader in the home infusion field. As part of the team, you will have an important, uniquely rewarding role putting your Pharmacy Technician skills and experience to work in a closed-door practice setting. Responsibilities • Partner closely with pharmacists to coordinate and process new patient referrals, prescription renewals, and ongoing refill management. • Serve as a primary point of contact for patients, <spa
Virtual Clinician Home Evaluations Nurse Practitioner or Physician Assistant (Full Time) - Indiana
CvshealthWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Do you have a passion for engaging with people and helping them on their journey to better health? Discover a meaningful role where you’ll engage with health plan members primarily online, helping to close gaps in care. Signify Health, part of CVS Health®, is hiring full-time, board-certified nurse practitioners or physician assistants to conduct Video Visits for Medicare Advantage, Medicaid, and certain commercial plan members. During our Video Visits, you’ll conduct an approximately 30-minute visit, including a medication and medical history review, allowing time to educate members about their health and answer their questions. In this role, you will: Conduct online “Video Visits” with health plan members, working in a private space with adequate internet connection Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs Provide 40 hours of availability weekly, consistently providing 320+ capacity units per month Execute a strong visit completion rate, consistently pacing 220+ completed visits per month Maintain training, affiliation, and compliance with Video Visit requirements (regular training required) Other role expectations and requirements: Be trained and credenti
Become a part of our caring community Professional member of patient’s treatment team who provides skilled nursing visits in patient’s home under the direction of plan of treatment stablished with physician and input from patient/caregiver. Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: • Provide initial and on-going assessment of client needs using the OASIS data elements incorporated into the Comprehensive Assessment. • With input from patient/caregiver and in conjunction with physician, formulates and implements plan of care. • Evaluate effectiveness of care plan and make necessary adjustments. • Provides for emotional and physical comfort and safety of client taking into consideration their rights and cultural background. • Receives and transcribes physician orders. • Notify physician and Agency supervisor of unusual reactions and/or changes in client’s condition. • Documents all appropriate observations and treatments in keeping with Agency policies and procedures. • Participates in case conferences, team meetings, staff meetings and Performance Improvement activities as assigned. • Provide supervision for Licensed Practical Nurses and/or Home Health Aide as assigned. • Provide any skilled nursing service for which appropriately trained which is prescribed under the plan of care. • Provide monthly summary of skilled services and clients outcomes to physician and Agency supervisor in keeping with Agency policies and procedures. Provides information for 60-day progress reports. • Adhere to all Agency policies and procedures including but not limited to HIPPA Privacy rule. • Maintains strict confidentiality of all patients, employee and Agency
Become a part of our caring community Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Enterprise Growth Strategy team is a newly created organization supporting growth across Humana’s businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana’s largest, which comprises over 80% of the company’s total revenue and the majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses’ most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana’s largest businesses. Humana is seeking an experienced team member to support delivering some of Medicare and Medicaid’s highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business unit leaders. </s
Become a part of our caring community Humana, a Fortune 60 Healthcare Company Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Consumer Product s Enablement & Solutions department supports Humana’s businesses by ensuring co nsumer products are competitive and meet consumer needs. The team also enables growth across the organization and ensures timely CMS and state filing timelines. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana’s largest , which comprises over 80% of the company’s total revenue and the majority of its earnings . Team members partner broadly with leaders throughout the enterprise, as they provide oversight and strategic direction of all Medicare and Duals products. Humana is seeking an experienced team member to help drive strategic direction and ensure execution on the end-to-end proces ses and projects critical for transformation across our business . As a Consultant , you will <
From $211K/yr
We are a global team of innovators and pioneers dedicated to shaping the future of observability. At New Relic, we build an intelligent platform that empowers companies to thrive in an AI-first world by giving them unparalleled insight into their complex systems. As we continue to expand our global footprint, we're looking for passionate people to join our mission. If you're ready to help the world's best companies optimize their digital applications, we invite you to explore a career with us! Your Opportunity: If you seek to bring new, disruptive ideas to the enterprise software market, it is time for your next big challenge. We are looking for a Mid-Enterprise Account Executive to join our extraordinary Mid-Enterprise Sales team. This is a chance to work with a "challenger brand" mentality—offering you the chance to do things you might not have been allowed to do before. You will be crucial in steering where we are headed. This is a remote opportunity, meaning you can forget the daily traffic jams and commute from your bedroom to your home office in moments. However, you won't be isolated; you will be out in the field making things happen across the Northeast region. What You'll Do: Build Relationships Face-to-Face: You will have frequent face-to-face meetings with clients, perfect for someone who thrives in social settings. You will focus on customers within the Northeast region, building genuine connections rather than just sending emails. Enjoy Autonomy and Trust: You will have the freedom to follow your instincts and make your own decisions. We trust you to manage your own schedule, balancing your home office time with necessary travel. Engage at the Highest Levels: You will navigate complex organizations and present to multiple decision-makers, including the "C-Suite," ensuring our value proposition is heard by those who matter most. Drive Market Impact: You will help companies across every size and vertical improve their customer experience and accelerate th
From $279K/yr
We are a global team of innovators and pioneers dedicated to shaping the future of observability. At New Relic, we build an intelligent platform that empowers companies to thrive in an AI-first world by giving them unparalleled insight into their complex systems. As we continue to expand our global footprint, we're looking for passionate people to join our mission. If you're ready to help the world's best companies optimize their digital applications, we invite you to explore a career with us! We are a global team of innovators and pioneers dedicated to shaping the future of observability. At New Relic, we build an intelligent platform that empowers companies to thrive in an AI-first world by giving them unparalleled insight into their complex systems. As we continue to expand our global footprint, we're looking for passionate people to join our mission. If you're ready to help the world's best companies optimize their digital applications, we invite you to explore a career with us! Your Opportunity: If you seek to bring new, disruptive ideas to the enterprise software market, it is time for your next big challenge. We are looking for a Enterprise Account Executive to join our extraordinary Enterprise Sales team. This is a chance to work with a "challenger brand" mentality—offering you the chance to do things you might not have been allowed to do before. You will be crucial in steering where we are headed. This is a remote opportunity, meaning you can forget the daily traffic jams and commute from your bedroom to your home office in moments. However, you won't be isolated; you will be out in the field making things happen across the Northeast region. What You'll Do: Build Relationships Face-to-Face: You will have frequent face-to-face meetings with clients, perfect for someone who thrives in social settings. You will focus on customers within the Northeast region, building genuine connections rather than just sending emails. Enjoy Autonomy and Trust: You
From $202K/yr
We are a global team of innovators and pioneers dedicated to shaping the future of observability. At New Relic, we build an intelligent platform that empowers companies to thrive in an AI-first world by giving them unparalleled insight into their complex systems. As we continue to expand our global footprint, we're looking for passionate people to join our mission. If you're ready to help the world's best companies optimize their digital applications, we invite you to explore a career with us! Your Opportunity: If you seek to bring new, disruptive ideas to the enterprise software market, it is time for your next big challenge. We are looking for a Account Executive to join our extraordinary North America Sales team. This is a chance to work with a "challenger brand" mentality—offering you the chance to do things you might not have been allowed to do before. You will be crucial in steering where we are headed. This is a remote opportunity, meaning you can forget the daily traffic jams and commute from your bedroom to your home office in moments. However, you won't be isolated; you will be out in the field making things happen across the Northeast region. What You'll Do: Build Relationships Face-to-Face: You will have frequent face-to-face meetings with clients, perfect for someone who thrives in social settings. You will focus on customers within the East region, building genuine connections rather than just sending emails. Enjoy Autonomy and Trust: You will have the freedom to follow your instincts and make your own decisions. We trust you to manage your own schedule, balancing your home office time with necessary travel. Engage at the Highest Levels: You will navigate complex organisations and present to multiple decision-makers, including the "C-Suite," ensuring our value proposition is heard by those who matter most. Drive Market Impact: You will help companies across every size and vertical improve their customer experience and accelerate their time to market. T
From $237.5K/yr
We are a global team of innovators and pioneers dedicated to shaping the future of observability. At New Relic, we build an intelligent platform that empowers companies to thrive in an AI-first world by giving them unparalleled insight into their complex systems. As we continue to expand our global footprint, we're looking for passionate people to join our mission. If you're ready to help the world's best companies optimize their digital applications, we invite you to explore a career with us! If you seek to bring new, disruptive ideas to the enterprise software market, it is time for your next big challenge. We are looking for an Account Executive to join our extraordinary Enterprise Sales team focusing on LATAM Accounts. This is a chance to work with a "challenger brand" mentality—offering you the opportunity to do things you might not have been allowed to do before. You will be crucial in steering where we are headed. This is a remote role, meaning you can forget the daily traffic jams and commute from your bedroom to your home office in moments. However, you won't be isolated; you will be out in the field making things happen. What You'll Do: Build Relationships Face-to-Face: Hold frequent face-to-face meetings with clients—perfect for someone who thrives in social settings. You will focus on building genuine connections rather than just sending emails. Enjoy Autonomy and Trust: Have the freedom to follow your instincts and make your own decisions. We trust you to manage your schedule, balancing your home office time with client visits. Engage at the Highest Levels: Navigate complex organizations and present to multiple decision-makers, including the C-Suite, ensuring our value proposition is heard by key stakeholders. Drive Market Impact: Help companies across every size and vertical improve their customer experience and accelerate their time to market. This Role Requires: Language Proficiency: Fluency in Spanish is required to effectively communicate and
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Registered Nurse (RN), Home Infusion you will work outside the walls of a hospital setting in a growing specialized area of the nursing field. If you are spending 12 hours on your feet or rushing from patient to patient with no time to provide quality patient care, this would be the perfect opportunity to change your work environment. Our nurses have the time and a balanced schedule to build strong one-on-one relationships with their patients and their families. In this role you will work up to 20 hours per week seeing patients in Des Moines Iowa and surrounding areas. Could travel up to 2 hours one way to see a specialty patient. You will be paid for all travel time and reimbursed mileage. On call- 2 weekend shifts per month. On-call pay. (not currently required) As a Home Infusion Nurse you will… - Challenge your clinical nursing (RN) skills by receiving continuous training on leading edge technology and clinical requirements in specialty infusion. Certification and recertification expenses can be reimbursed for eligible RN’s such as Certified Registered Nurse of Infusion (CRNI®)! - Provide a broad range of infusion therapies in our patients’ homes - Make a difference by using your clinical IV experience and personal touch to assist our patients recover in the comfort of their own home. - Provide one-on-one home infusion nursing care visits and patie
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Registered Nurse (RN), Home Infusion you will work outside the walls of a hospital setting in a growing specialized area of the nursing field. If you are spending 12 hours on your feet or rushing from patient to patient with no time to provide quality patient care, this would be the perfect opportunity to change your work environment. Our nurses have the time and a balanced schedule to build strong one-on-one relationships with their patients and their families. In this role you will work up to 20 hours every week seeing patients in Metro St. Louis and some areas in Illinois. Could travel up to 2 hours one way to see a specialty patient. You will be paid for all travel time and reimbursed mileage. On call is not currently required. As a Home Infusion Nurse you will: - Challenge your clinical nursing (RN) skills by receiving continuous training on leading edge technology and clinical requirements in specialty infusion. Certification and recertification expenses can be reimbursed for eligible RN’s such as Certified Registered Nurse of Infusion (CRNI®)! - Provide a broad range of infusion therapies in our patients’ homes - Make a difference by using your clinical IV experience and personal touch to assist our patients recover in the comfort of their own home. - Provide one-on-one home infusion nursing care visits and patient education in accordance with th
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and Pharmacy Services. - Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinical guidelines. - Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria. - Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, members, and/or pharmacists. - Will perform clinical research to support request. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Process requests in compliance with various laws and CMS regulations and company policies and procedures. - May communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies and Health Care Providers. - Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services. - Sedentary work involving significant periods of sitting, tal
$73K – $132K/yr
The pay range is $73,000.00 - $132,000.00 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . About us: As a Fortune 50 company with more than 400,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop tale
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the workday. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. - Maintains a balance of productivity, quality and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. - Successful pharmacy technicians will possess good written and verbal communication
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