• Utilization Management Clinician

    CVS Health (Sacramento, CA)
    …Working schedule is Monday-Friday standard business hours. No nights, weekends or holidays. As a UM Clinician Behavioral Health you will: - Utilize ... with clients with an Autism Diagnosis - Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in… more
    CVS Health (04/26/24)
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  • UM Care Review Clinician IP LPN…

    Molina Healthcare (Bronx, NY)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... of service. **This position will support our Senior Whole Health business.** **_Senior Whole Health by Molina_**...are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management… more
    Molina Healthcare (05/01/24)
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  • UM Care Review Clinician Inpatient…

    Molina Healthcare (Bronx, NY)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review ...UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a… more
    Molina Healthcare (04/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Long Beach, CA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... **JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
    Molina Healthcare (03/07/24)
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  • Care Review Clinician , Inpatient - RN,…

    Molina Healthcare (NE)
    …a Nebraska licensed RN, LMHP, LIMHP to complete Inpatient Utilization Reviews for our behavioral health members. Preference will be given to those providers who ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
    Molina Healthcare (03/27/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Omaha, NE)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... are looking for a RN to support our SC Health plan Medicaid Nebraska Inpatient Medical review process. Strong...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
    Molina Healthcare (04/13/24)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Richmond, VA)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (04/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (CA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (04/24/24)
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