- Molina Healthcare (Reno, NV)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Reno, NV)
- …experience with MCG guidelines. At least 2 years of experience with inpatient concurrent review , prior authorization and managed care ; Acute care hospital ... .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
- Molina Healthcare (Las Vegas, NV)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Highmark Health (Carson City, NV)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
- Datavant (Carson City, NV)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Elevance Health (Las Vegas, NV)
- **Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute Solutions** , ... focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve. Candidates** **Must live in within a reasonable… more
- Intermountain Health (Boulder City, NV)
- …Monday to Friday 7AM to 4PM) **Unit/Location:** Boulder City Senior Primary Care Clinic **Additional Details:** Please review Minimum Qualifications listed below ... the best care by: + **Providing Patient Care :** Under the direction of the Clinician ,...of Medical Assistant experience (verified upon hire) Or current RN /LPN license to practice nursing in the state +… more
- Intermountain Health (Mesquite, NV)
- …(40 hrs/wk - Monday to Friday 8AM to 5PM) **Unit/Location:** Senior Primary Care - Mesquite, NV **Additional Details:** Please review Minimum Qualifications ... the best care by: + **Providing Patient Care :** Under the direction of the Clinician ,...of Medical Assistant experience (verified upon hire) Or current RN /LPN license to practice nursing in the state +… more