- Molina Healthcare (Louisville, KY)
- …who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for ... outpatient and inpatient services for the OH Medicaid behavioral health population....as LCSW, LPCC or LMFT. + Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Yonkers, NY)
- …candidate with a New York LMHC, LCSW, or LMSW licensure, UM and Inpatient Review experience. The Care Review Clinician must be able to work independently ... 1 weekend every 5-6 weeks and holiday **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and… more
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT: 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Molina Healthcare (Detroit, MI)
- …OH Licensure and/or have Compact RN license. The Care Review Clinician will provide prior authorization for inpatient services for the OH Medicaid ... **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who has...Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient , Rehabilitation, Long Term Acute care hospital. Excellent computer… more
- Molina Healthcare (Troy, MI)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who lives in MICHIGAN and must be licensed for the state of MICHIGAN. We cannot ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Molina Healthcare (San Diego, CA)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... California RN residents preferred. Pacific daytime business hours required.**...illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost… more
- Molina Healthcare (Chandler, AZ)
- …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with...have experience with UM and prior authorization with both inpatient and outpatient. Candidates with a Behavioral Health background… more
- Highmark Health (Wexford, PA)
- …the best growth and educational opportunities to employees **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and ... Wexford Hospital in Wexford, PA is the newest full-service, clinician -led hospital in the Allegheny Health Network. The new...nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse… more
- US Tech Solutions (Wichita, KS)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE... Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- HCA Healthcare (Kansas City, MO)
- **Description** **Introduction** Do you have the career opportunities as a(an) Cardiology RN Clinician Stress and Heart Failure you want with your current ... colleagues. Do you want to work as a(an) Cardiology RN Clinician Stress and Heart Failure where...Clinician Stress and Heart Failure opening. We promptly review all applications. Highly qualified candidates will be contacted… more