- Molina Healthcare (Dayton, OH)
- …OHIO and must be licensed for the state of OHIO. The Care Review Clinician will provide prior authorization for OH Medicaid behavioral health population. ... financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes requests… more
- WelbeHealth (Rosemead, CA)
- …focus lead the way no matter what. The Licensed Mental Health Clinician (internally known as Behavioral Health Specialist) works alongside the Social Work ... an integrated care environment and collaborate with primary care providers, psychiatric nurse practitioners, and social workers under the collaborative care model +… more
- Glens Falls Hospital (Glens Falls, NY)
- …* Responds within 60 minutes to ECC requests for consultation * Reviews prior clinical records as available * Conducts evaluations of each referred ECC patient, ... of experience in a behavioral health setting, or + Current license as registered professional nurse (RN) in New York with a minimum of three years of experience in… more
- Community Health Systems (Wilkes Barre, PA)
- …nursing and 3 years of mental health direct care experience. 4)A registered nurse license, certified in psychology or psychiatry. Crisis Clinicians who are not ... theology, nursing, counseling, education or related field. 2)A registered nurse . 3)A high school diploma or equivalency and 3...services with employment as a mental health staff person prior to January 1, 1992. 4)A consumer or a… 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
- Molina Healthcare (Albany, NY)
- …States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the ideal candidate will have experience either ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Molina Healthcare (Sterling Heights, MI)
- …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
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT: 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will ... for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. +...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge… more
- Centene Corporation (Tallahassee, FL)
- …to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to determine ... or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $26.50 -… more
- Centene Corporation (Tallahassee, FL)
- …(BH) and/or autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to determine medical appropriateness in ... or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + Board Certified… more