- Molina Healthcare (Albany, NY)
- …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **MULTI STATE / COMPACT LICENSURE** **Individual state… more
- Molina Healthcare (Albany, NY)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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 (Albany, NY)
- …Qualifications** * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Albany, NY)
- …Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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 (Albany, NY)
- …a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a ... 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
- Cardinal Health (Albany, NY)
- …(TM) Access and Patient Support_** helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... financial assistance * Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the… more
- Baylor Scott & White Health (Albany, NY)
- …improvement projects in help of BSWH's strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statutes, policies, and ... specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Performs concurrent and… more