• UM Care Review

    Molina Healthcare (Bronx, NY)
    …are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a high-volume ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina… more
    Molina Healthcare (04/25/24)
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  • UM Care Review

    Molina Healthcare (Bronx, NY)
    …eligible for Medicaid and Medicare.** **We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with ... to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. **JOB… more
    Molina Healthcare (05/15/24)
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  • Inpatient Nurse Case Manager: Mon-Fri, Day Shift

    Albany Medical Center (Albany, NY)
    Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to ... plan, coordinate, implement and evaluate patient care for assigned service line across the...community, patient/significant others/family and payers by functioning as a clinician , consultant, advocate and educator for assigned service.The Case… more
    Albany Medical Center (04/17/24)
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