- Molina Healthcare (Bowling Green, KY)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Bowling Green, KY)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Centene Corporation (Nashville, TN)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... a current state's license.** **Position Purpose:** Performs a clinical review and assesses care related to mental...accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to… more
- Molina Healthcare (Bowling Green, KY)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more