• Care Review Clinician , Prior…

    Molina Healthcare (NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... (RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization… more
    Molina Healthcare (07/12/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Syracuse, NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... or a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates… more
    Molina Healthcare (08/16/25)
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  • Care Review Clinician , Prior…

    Molina Healthcare (Buffalo, NY)
    …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **MULTI STATE /… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician

    Molina Healthcare (Rochester, NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... reliable transportation. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (08/20/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... and holidays.** Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (08/23/25)
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  • Care Review Clinician

    Molina Healthcare (Rochester, NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... 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 (08/31/25)
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  • Professional, BH Program Support Specialist

    MVP Health Care (Rochester, NY)
    At MVP Health Care , we're on a mission to create a...requiring concurrent review to the appropriate BH UM Clinician + Communicate with hospital or ... + An opportunity to shape the future of health care by joining a team recognized as a **Best...field preferred + One year experience in health insurance/managed care preferred + Excellent customer service skills + Ability… more
    MVP Health Care (08/14/25)
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