- Molina Healthcare (MS)
- …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 (Fort Worth, TX)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... a TX licensed LVN with Utilization Management experience to join our Prior Authorization reviewing team. Previous UM experience with MCG/Interqual guidelines as well… more
- Molina Healthcare (WA)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... or emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
- Molina Healthcare (San Francisco, CA)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... hospital experience in a medical unit or emergency room. Previous experience in Prior Auth, Utilization Review / Utilization Management and knowledge of… more
- Molina Healthcare (Cedar Rapids, IA)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... in a medical unit or emergency room. Previous experience in ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Cleveland, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Molina Healthcare (Los Angeles, CA)
- …Qualifications** * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
- Molina Healthcare (NM)
- …experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care ... .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- Centene Corporation (Honolulu, HI)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... Utilization Management experience strongly preferred.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and… more
- Molina Healthcare (NM)
- …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 (Nampa, 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 (Reno, NV)
- **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality… more
- Molina Healthcare (Downers Grove, IL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... 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
- University of Colorado (Aurora, CO)
- **Pavilion Health Clinician -Educator** **Description** **University of Colorado Anschutz Medical Campus** **Department: Medicine- General Internal Medicine** **Job ... Title: Pavilion Health Clinician -Educator** **Position #00819385 - Requisition #32720** **Job Summary:** Key...patients per day, ensuring ample time to provide thorough care without feeling rushed + **Efficient workflow** - Doctors… more
- UPMC (Greenville, PA)
- …in the achievement of a culture of excellence in professional nursing practice and patient care . The Sr. Clinician , under the direction of the Unit Director or ... through the use of the nursing process. The Sr. Clinician , in collaboration with other health care ...review process. Four years of nursing experience required. Prior progressive leadership experience strongly preferred for external hires.… more
- Commonwealth Care Alliance (Springfield, MA)
- …or urgent visits to maintain expected productivity. + Review members' quality gaps prior to every visit and collaborate with care team to close these gaps. ... care delivery. Within the CIC Program, The Senior Clinician , Behavioral Health (SBHC) serves as a leader for...CCA quality improvement efforts + Participates in regular Interprofessional Care Team meetings and Team Case Review .… more
- Centene Corporation (San Diego, CA)
- …abuse is preferred. + Experience working with providers and healthcare teams to review care services, precertification, concurrent review , discharge reviews ... or Remote - TX** **Position Purpose:** Performs a clinical review and assesses care related to mental...care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance… more
- Centene Corporation (Richmond, VA)
- … process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. ... including a fresh perspective on workplace flexibility. M-F 8-5 EST/CST Partnerships In Care Program **Position Purpose:** Performs reviews of member's care and… more
- State of Colorado (Denver, CO)
- …basis. Preferred Qualifications: + 1+ years Knowledge and Experience as Mental Health Care Clinician I at a State of Colorado Mental Health Institute. ... Mental Health Clinician II (Staffing Department Rover)-Colorado Mental Health Hospital at Fort Logan Print… more
- State of Colorado (Chaffee County, CO)
- …housing, and does not operate the housing. Description of Job Mental Health Clinician : This position provides mental health care to a special population ... CDOC (Social Worker/Counselor III) - Mental Health Clinician - (BUENA VISTA) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5100324) Apply … more