- Molina Healthcare (New York, NY)
- …are eligible for Medicaid .** **We are looking for a RN Care Review Clinician with Prior Authorization experience. Candidates with Utilization Management (UM) ... and MLTC/LTC experience are highly preferred. Additional experience with appeals , quality review , and experience with data collection/reports.** **_Bilingual… more
- VNS Health (Manhattan, NY)
- …for HEDIS or other related compliance or quality improvement initiatives. + Provides clinical support in the Grievance and Appeals process. + Participates in ... Range:$49.55 - $61.96 Hourly What You Will Do + Collaborates with clinical management and field clinicians to identify, develop and implement quality improvement… more