- Molina Healthcare (Houston, TX)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- Molina Healthcare (Dallas, TX)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- UTMB Health (Galveston, TX)
- Oncology Nurse Clinician - Medical Oncology and Hematology **Galveston, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504661 ... accredited School of Nursing + Experience: Two (2) years of Clinical RN experience, ** prior experience in oncology** + Active RN license or valid temporary permit to… more
- UTMB Health (League City, TX)
- Operating Room Nurse Clinician III - Victory Lakes **League City, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504597 ... permit to practice in Texas. Current BLS required. **JOB SUMMARY:** Competent Clinician . Possesses knowledge and skill to meet standards for competent professional… more
- UTMB Health (Galveston, TX)
- Operating Room Nurse Clinician III - Galveston **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2504011 **Minimum ... permit to practice in Texas. Current BLS required. **JOB SUMMARY:** Competent Clinician . Possesses knowledge and skill to meet standards for competent professional… more
- Molina Healthcare (San Antonio, TX)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- Molina Healthcare (Houston, TX)
- …a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Molina Healthcare (Houston, TX)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes requests ... **Preferred Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Dallas, TX)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes requests ... within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + Requests additional information from members or providers in consistent and efficient manner. + Makes appropriate referrals to… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …a highly qualified candidate. Responsibilities The HBPC Medical Director is the senior clinician and is responsible for the overall medical care delivered by the ... GEC Service line. In addition to their role as clinician , the HBPC Medical Director will have administrative responsibilities...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more