- University of Pennsylvania (Philadelphia, PA)
- …seeks candidates for several Assistant Professor positions in the non-tenure clinician -educator track. Applicants must have an MD or MD/Ph.D. or equivalent ... malignancy, or other related diseases. The successful candidate will have prior research experience and have demonstrated evidence of peer-reviewed scholarship.… more
- Molina Healthcare (Omaha, NE)
- …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
- Ascension Health (Elk Grove Village, IL)
- …required. + Experience: At least 1-2 years of cardiology experience preferred. Prior experience in heart failure, LVAD, or transplant strongly preferred. + Skills: ... + BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date required. Credentials are verified… more
- Centene Corporation (Raleigh, NC)
- …to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to determine ... HEALTH ALL STATES AND DELAWARE MEDICAID INPATIENT AND PHP PRIOR AUTHORIZATIONS.** **Education/Experience:** Requires Graduate of an Accredited School Nursing… more
- Molina Healthcare (Fort Worth, TX)
- …for requested treatments and/or procedures. + Conducts reviews to determine prior authorization / financial responsibility for Molina healthcare and its members. ... or emergency room. + Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Austin, 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
- Ascension Health (Broadview, IL)
- …+ BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date required. Credentials are verified ... credentialed from the Illinois Department of Financial and Professional Regulation obtained prior to hire date or job transfer date required. Credentials are… more
- Queen's Health System (Honolulu, HI)
- …nursing experience preferably with a mixture of acute and outpatient setting. * Prior community case management experience preferred. * Prior clinical and/or ... ICU/ER experience preferred. * Mental health or psychiatric experience desirable. Equal Opportunity Employer/Disability/Vet more
- Molina Healthcare (San Jose, CA)
- …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 (Kenosha, WI)
- …to Molina members with ASD and other related disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy (BHT) ... assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: Psychological Evaluation requests, Comprehensive Diagnostic Evaluations, Functional Behavioral Assessments, and Progress Reports. *… more
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