- Molina Healthcare (Springfield, MA)
- JOB DESCRIPTION Job Summary The Care Review Clinician , IP Provides support for clinical member services review assessment processes. Responsible for ... a candidate with a MA RN licensure. Candidates with UM Medical Review background and experience using...* Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM… more
- Elevance Health (Las Vegas, NV)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... Med/Surg, Critical Care , ER, Telemetry, etc. strongly preferred. + Utilization management/ review within managed care or hospital strongly preferred. + NICU /… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour ... and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training… more
- Molina Healthcare (Dallas, TX)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
- Molina Healthcare (WA)
- …other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
- Molina Healthcare (Cedar Rapids, IA)
- …other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and ... health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
- Molina Healthcare (Los Angeles, CA)
- …other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
- Molina Healthcare (AZ)
- …to other clinical programs. * Collaborates with multidisciplinary teams to promote Molina care model. * Adheres to utilization management ( UM ) policies and ... At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care hospital experience with discharge planning… more
- Molina Healthcare (Nampa, ID)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (AZ)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
Recent Jobs
-
Sr. Product Development Engineer
- ExxonMobil (Baytown, TX)
-
Traffic/ITS Project Engineer
- HNTB (Bartow, FL)
-
Front Desk Associate - Part-Time
- Schlesinger Group (New York, NY)
-
Business Development Director, Market Access Technology & Solutions
- IQVIA (Parsippany, NJ)