- Molina Healthcare (Rochester, NY)
- …locality with reliable transportation. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (NY)
- …with some weekends and holidays.** Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Buffalo, NY)
- …(RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Yonkers, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...must have an RN licensure. Experience with UM medical review and prior authorization is a bonus. PEGA knowledge… more
- Molina Healthcare (Syracuse, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Rochester, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Syracuse, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Monroe Plan for Medical Care (Oswego, NY)
- …training, re-engagement in community care , and addressing barriers to care . + Review documentation and conduct comprehensive psychosocial assessments to ... Case Manager - Licensed Clinician - LMSW/LCSW/RN Summary Title:Case Manager - Licensed...are committed to supporting vulnerable communities through compassionate, person-centered care . Oswego County is currently seeking a Licensed Clinical… more
- Centene Corporation (New York, NY)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... the state of New York.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines… more
- Stony Brook University (Stony Brook, NY)
- RN Supervisor (T&RC) Clinician **Position Summary** At Stony Brook Medicine, our Registered Nurses are critical members of the team who diagnose and treat responses ... health teaching and counseling. Our valued team members provide care supportive to our patients' health and well-being, while...while adhering to a medical regimen. The RN Supervisor ( Clinician ) functions as the nurse leader of a unit… more