• LPN Care Review Clinician

    Molina Healthcare (Everett, WA)
    …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
    Molina Healthcare (08/24/25)
    - Related Jobs
  • Care Review Clinician

    Molina Healthcare (Buffalo, 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 (08/31/25)
    - Related Jobs
  • Care Review Clinician

    Molina Healthcare (Idaho Falls, ID)
    …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 (07/12/25)
    - Related Jobs
  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has been delivering ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...prior authorization, continued stay, change in level of care , discharge, retrospective, facilitating peer to peer reviews, and… more
    Monte Nido (09/06/25)
    - Related Jobs
  • Care Review Clinician

    Molina Healthcare (Los Angeles, CA)
    …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
    Molina Healthcare (09/06/25)
    - Related Jobs
  • Care Review Clinician , PA…

    Molina Healthcare (Miami, FL)
    …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 (08/23/25)
    - Related Jobs
  • Care Review Clinician

    Molina Healthcare (Sacramento, CA)
    …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 ,… more
    Molina Healthcare (08/24/25)
    - Related Jobs
  • Care Review Clinician , PA…

    Molina Healthcare (Cleveland, OH)
    …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
    Molina Healthcare (08/16/25)
    - Related Jobs
  • Mental Health Clinician III (Staffing…

    State of Colorado (Denver, CO)
    …Qualifications: + Bachelors Degree + 1+ years Knowledge and Experience as Mental Health Care Clinician II at a State of Colorado Mental Health Institute. + ... Mental Health Clinician III (Staffing Office) - Colorado Mental Health Hospital Fort Logan (Denver) Print… more
    State of Colorado (08/28/25)
    - Related Jobs
  • Care Review Clinician

    Molina Healthcare (Cedar Rapids, IA)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/31/25)
    - Related Jobs