- Molina Healthcare (Louisville, KY)
- …a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the KY ... Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care … more
- UPMC (Williamsport, PA)
- …in the achievement of a culture of excellence in professional nursing practice and patient care . The Sr. Clinician , under the direction of the Unit Director or ... through the use of the nursing process. The Sr. Clinician , in collaboration with other health care ...review process. Four years of nursing experience required. Prior progressive leadership experience strongly preferred for external hires.… more
- University of Colorado (Aurora, CO)
- ** Clinician Educator- Internal Medicine (Open Rank)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Medicine- General Internal ... Medicine** **Job Title:** ** Clinician Educator- Internal Medicine (Open Rank)** **Position: #00842460 -...of Associate Professor, or equivalent, already attained at a prior academic institution Professor:** + MD or DO degree… more
- Molina Healthcare (Sparks, NV)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care hospital… more
- Molina Healthcare (Rio Rancho, 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 ... in New Mexico or Texas. This team reviews the prior authorization requests for our New Mexico Medicaid recipients....such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Molina Healthcare (Yonkers, NY)
- …care unit (ICU) or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent… more
- Molina Healthcare (North Las Vegas, NV)
- …an intensive care unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent… more
- Molina Healthcare (Tacoma, WA)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Molina Healthcare (Madison, WI)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- The Center for Great Expectations (Somerset, NJ)
- Clinician , Adult Residential Program Somerset, NJ (http://maps.google.com/maps?q=19+Dellwood+Lane+Somerset+NJ+USA+08873) Description Clinician , Adult Women's ... Residential Program Under the supervision of the Program Manager, the Clinician is responsible for performing clinical assessments, creating treatment plans, and… more