- Molina Healthcare (Albuquerque, NM)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Molina Healthcare (Idaho Falls, ID)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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
- Monte Nido (Miami, FL)
- …comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible for conducting daily administrative and professional ... while providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote - EST or CST hours** **Monte… more
- Molina Healthcare (Fort Worth, TX)
- …emergency room. + Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... zone residents preferred** **Job Description** **Job Summary** Supports the clinical review process of provider requests to ensure that behavioral health services… more
- Molina Healthcare (San Jose, CA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Molina Healthcare (Omaha, NE)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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 (Austin, TX)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- University of Colorado (Aurora, CO)
- **Pavilion Health Clinician -Educator** **Description** **University of Colorado Anschutz Medical Campus** **Department: Medicine- General Internal Medicine** **Job ... Title: Pavilion Health Clinician -Educator** **Position #00819385 - Requisition #32720** **Job Summary:** Key...patients per day, ensuring ample time to provide thorough care without feeling rushed + **Efficient workflow** - Doctors… more
- Molina Healthcare (Everett, WA)
- …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
- Molina Healthcare (Macon, GA)
- …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
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