• Care Review Clinician

    Molina Healthcare (Rochester, NY)
    …York LMHC, LCSW, or LMSW licensure, UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a high-volume ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina… more
    Molina Healthcare (05/14/25)
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  • Care Review Clinician , Prior…

    Molina Healthcare (Chicago, IL)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...30 days of hire. + MCO experience preferred. + UM experience preferred- prior auth, inpatient review ,… more
    Molina Healthcare (05/15/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Albany, NY)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a...for transplants. Preference will be given to those whose UM experience is within another MCO like Molina; experience… more
    Molina Healthcare (04/20/25)
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  • Care Review Clinician

    Molina Healthcare (Vancouver, WA)
    …a candidate with a LICSW, LMFT, LMHC or LPCC licensure with previous UM and managed care experience. Proficient technology experience is highly preferred. ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina… more
    Molina Healthcare (05/14/25)
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  • Care Review Clinician

    Molina Healthcare (Scottsdale, AZ)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (05/14/25)
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  • Care Review Clinician , Prior…

    Molina Healthcare (Long Beach, CA)
    …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 (04/20/25)
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  • Care Review Clinician

    Molina Healthcare (Sacramento, CA)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... in Nursing **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Inpatient/ Concurrent Review ,...Acute Care , ER or ICU, Inpatient/ Concurrent Review , Utilization Review / Utilization Management and… more
    Molina Healthcare (05/07/25)
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  • Care Review Clinician

    Molina Healthcare (San Francisco, CA)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... in Nursing **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 (05/15/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Sterling Heights, MI)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (05/11/25)
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  • Behavioral Health UR Clinician

    Independent Health (Buffalo, NY)
    …fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be responsible for managing ... required. + Two (2) years of experience in a behavioral health clinical, managed care , and/or care coordination setting required. + Experience in a health… more
    Independent Health (05/15/25)
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