- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Centene Corporation (Tallahassee, FL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- UTMB Health (League City, TX)
- Nurse Clinician IV (RN) - 4S Med/Surg - LCH (Days) **League City, Texas, United States** **New** **Hot** Nursing & Care Management UTMB Health Requisition # ... **Required:** + BSN + BLS + Specialty Certification **JOB SUMMARY:** Proficient Clinician . Possesses knowledge and skill to meet standards for competent professional… more
- 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 ... Experience using PEGA **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). MULTI STATE / COMPACT… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Coordinates and performs utilization review and patient medical record audits according to State & Federal licensing regulations and Joint ... plans to improve clinical documentation. Responsibilities: 1. Coordinates and performs utilization review and patient medical record audits according to State &… more
- Elevance Health (CA)
- **Medical Management Clinician Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Friday 7:00 AM - 3:30 PM PST The **Medical Management Clinician Senior** is responsible for ensuring...in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience is strongly preferred. +… more
- Elevance Health (Richmond, VA)
- **Medical Management Clinician Sr** **Location: Norfolk, Richmond, or Roanoke, Virginia.** **Virtual:** This role enables associates to work virtually full-time, ... and ensures essential face-to-face onboarding and skill development. The **Medical Management Clinician Sr** is responsible for ensuring appropriate, consistent… more
- Baystate Health (Springfield, MA)
- …, Physician Assistant, Mental Health Counselor, Patient Care Technician, and Psychiatric Nurse . The crisis clinician must have excellent written, keyboarding, ... **Emergency Department Crisis Clinician ** Baystate Health, a nationally recognized leader in...a wide range of duties involving patient evaluation, case management , treatment, and discharge planning, and documentation. The crisis… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management , closing of ... care delivery. Within the CIC Program, the Advanced Practice Clinician (APC - NP or PA) serves as a...as NP or PA in primary care or care management AND 3+ years' experience as Registered Nurse… more
- Superior Court of Fulton County (Atlanta, GA)
- BEHAVIORAL HEALTH CLINICIAN I **SUPERIOR COURT OF FULTON COUNTY** **JOB ANNOUNCEMENT FOR THE POSITION OF** BEHAVIORAL HEALTH CLINICIAN I **_SALARY GRADE 19: ... ("Court") has an exciting opportunity for an experienced Behavioral Health Clinician within its Accountability Courts Division. Superior Court is Georgia's busiest… more
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