- Molina Healthcare (Madison, WI)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (San Diego, CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- US Tech Solutions (Wichita, KS)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE... Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- County of El Dorado (Placerville, CA)
- …or Psychiatrist in the State of California, or must be licensed as a Registered Nurse . Mental Health Clinician IB/II: Must possess an appropriate ... to practice as a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse , Licensed Clinical Psychologist, or Psychiatrist in the State… more
- Centene Corporation (Honolulu, HI)
- …fresh perspective on workplace flexibility. Remote Position. Must Reside in Hawaii Registered Nurse ( RN ) or Licensed Clinician Only. Must have a current ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- UPMC (Pittsburgh, PA)
- …Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Comprehensive Crisis Management (CCMC) + Registered Nurse ( RN ) + Act 33 with renewal + Act ... **Are you an experienced nurse looking to take the next step in...assist with leading members of a clinical team? The Clinician Fellow, BH/ Clinician role may be an… more
- Highmark Health (Wexford, PA)
- …the best growth and educational opportunities to employees **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and ... Wexford Hospital in Wexford, PA is the newest full-service, clinician -led hospital in the Allegheny Health Network. The new...nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse… more
- Centene Corporation (San Diego, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs,… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 ... and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training… more