- Elevance Health (Mason, OH)
- …and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests ... into the UM system in accordance with the plan certificate. +...an equivalent background. **Preferred Skills, Capabilities and Experiences** + Medical terminology training and experience in medical … more
- Molina Healthcare (Cincinnati, OH)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more