- Elevance Health (Cincinnati, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician ** **Location:** This role enables ... hours may be necessary based on company needs. The ** Medical Management Clinician ** responsible for ensuring appropriate, consistent administration… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician (RN) provides support for clinical member services review assessment processes. Responsible for verifying ... with MCO experience are highly preferred. The Care Review Clinician must be able to work independently in a...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... candidate must have a RN licensure and experience with medical surgical, emergency room, intensive care unit, or in...promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At… more
- Molina Healthcare (Cincinnati, OH)
- …in Healthcare Management (CPHM). * Recent hospital experience in a medical unit or emergency room. Previous experience in managed care Prior Auth, Utilization ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.… more
- Molina Healthcare (Cincinnati, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- Molina Healthcare (Cincinnati, OH)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Nurse (RN). **Required Experience** 1-3 years of hospital or medical clinic experience. **Required License, Certification, Association** Active, unrestricted State… more
- Molina Healthcare (Cincinnati, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- Molina Healthcare (Cincinnati, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- ChenMed (Cincinnati, OH)
- …people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- OptiMindHealth (Middletown, OH)
- …Work/life balance! Leadership and advancement opportunities! Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... to our clinicians. Packages can be customized towards every clinician 's needs. Packages can include some combination of: ....can include some combination of: . Competitive Salary . Medical benefits . Paid malpractice policy . CEU reimbursement… more
- Elevance Health (Mason, OH)
- …meetings with state regulators. **How you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to members and ... is granted as required by law. The **Plan Performance Medical Director** serves as a lead clinician and oversees the administration of medical services… more
- Gentiva (Hamilton, OH)
- …to patients and support to families, while also serving as a floating clinician -temporarily assigned to different hospice branches based on census needs or staffing ... Recognition Programs * Teammate Assistance Fund **Additional Full-Time Benefits:** * Medical , Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle… more