- Inside Higher Ed (Augusta, GA)
- …Employment All selected candidates are required to successfully pass a Background Check review prior to starting with Augusta University.If applicable for the ... Augusta community. In addition, the Chair will:A highly respected active clinician .Demonstrated success in the leadership and operation of an Emergency… more
- Molina Healthcare (Vancouver, WA)
- JOB DESCRIPTION **Job Summary** The LPN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for ... years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent… more
- Molina Healthcare (Layton, UT)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or… more
- Molina Healthcare (Southaven, 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 (Boston, MA)
- JOB DESCRIPTION Job Summary The Care Review Clinician , IP Provides support for clinical member services review assessment processes. Responsible for ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacist/ Clinician - Prior Authorization Location: Remote Pay Rate: $52.98 - $ 56.00/hour Training + Dates: October 27 - December 12, 2025 + Hours: ... internal teams to ensure timely determinations and quality member care . + Evaluate prior authorization requests and...for urgent PA requests as needed. Preferred Experience + Prior authorization (PA) or clinical case review … more
- Molina Healthcare (Dayton, OH)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... licensure required** **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization...in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Molina Healthcare (San Francisco, CA)
- …Qualifications** * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... program(s) proficiency. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization...in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management… 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 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
- Molina Healthcare (Columbus, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and… more
- Molina Healthcare (Sparks, NV)
- …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 (Ann Arbor, MI)
- …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 (Las Vegas, 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 (Rockford, 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
- Molina Healthcare (Louisville, KY)
- …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
- State of Colorado (Denver, CO)
- …Qualifications: + Bachelors Degree + 1+ years Knowledge and Experience as Mental Health Care Clinician II at a State of Colorado Mental Health Institute. + ... Mental Health Clinician III (Staffing Office) - Colorado Mental Health Hospital Fort Logan (Denver) Print… more
- UPMC (Williamsport, 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
- 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
- Centene Corporation (Raleigh, NC)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- UPMC (Williamsport, 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 ...hire on-boarding. Assists the Unit/Department Leader with the peer review process. + Four years of nursing experience required.… more
