- Molina Healthcare (Louisville, KY)
- …be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and ... JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- Molina Healthcare (NM)
- ….** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services ... teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work...At least 2 years of experience with inpatient concurrent review , prior authorization and managed care; Acute care hospital… more
- Centene Corporation (Honolulu, HI)
- … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
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