• UnitedHealth Group (Kingsville, TX)
    …Nurse RN Home Health to join our team in Corpus Christi, TX. Optum is a clinician -led care organization that is changing the way clinicians work and live. As a ... discharge planning needs as part of the Plan of Care development and implements prior to discharge...Performance Improvement Program activities of the agency and periodic review of clinical records, as assigned Communication: Prepares clinical… more
    Talent (09/15/25)
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  • Care Review Clinician

    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 (09/06/25)
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  • Care Review Clinician

    Molina Healthcare (Buffalo, NY)
    …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **MULTI STATE / COMPACT LICENSURE** **Individual state… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician

    Molina Healthcare (Idaho Falls, ID)
    …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 (07/12/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has been delivering ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...prior authorization, continued stay, change in level of care , discharge, retrospective, facilitating peer to peer reviews, and… more
    Monte Nido (09/06/25)
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  • Care Review Clinician (RN)…

    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 (09/06/25)
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  • Care Review Clinician , PA…

    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 (09/17/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Miami, FL)
    …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 (08/23/25)
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  • Care Review Clinician

    Molina Healthcare (Henderson, 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 ,… more
    Molina Healthcare (09/17/25)
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  • Care Review Clinician

    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 (08/31/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Cleveland, OH)
    …a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a ... 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 (08/16/25)
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  • Care Review Clinician

    Molina Healthcare (Wayne, MI)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... 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 (09/14/25)
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  • Pavilion Health Clinician -Educator

    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
    University of Colorado (09/06/25)
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  • Sr. Clinician - Resource Pool - UPMC…

    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
    UPMC (09/17/25)
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  • Senior Psychologist Clinician Investigator

    Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
    Summary The full-time permanent Senior Psychologist Clinician Investigator is located in the Mental Health Service Line (MHSL) at the Minneapolis VA Health Care ... (MVAHCS) and will conduct research including program evaluation with the Clinician Investigators Team (CIT) as a psychologist researcher. Additional clinical duties… more
    Veterans Affairs, Veterans Health Administration (09/06/25)
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  • Utilization Review Clinician

    Centene Corporation (Springfield, IL)
    review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... lunch; plus holiday rotation, and occasional overtime **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
    Centene Corporation (08/21/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Phoenix, AZ)
    … process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. ... perspective on workplace flexibility. **Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services… more
    Centene Corporation (09/04/25)
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  • Mental Health Clinician I - Colorado Mental…

    State of Colorado (Denver, CO)
    …age Preferred Qualifications: + 1+ years of Knowledge and Experience as a Mental Health Care Clinician I at the State of Colorado Mental Health Institute. + 1+ ... Mental Health Clinician I - Colorado Mental Health Hospital in...Medical services, o ccupational therapy, neuropsychological-rehabilitation services, and trauma-informed care services are available for all patients throughout the… more
    State of Colorado (06/26/25)
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  • Clinician (LICSW/LMHC), Primary Care

    Beth Israel Lahey Health (Newburyport, MA)
    …you're not just taking a job, you're making a difference in people's lives.** Clinician (LICSW/LMHC), Primary Care **Job Description:** + **Sign on bonus up to ... may be available)** + **Locations: Shared** **BIDHC Andover Primary Care , Lahey Methuen and Newburyport practices** Primary care...the lives of the clients we serve. **Responsibilities:** * Review medical records prior to initial evaluation… more
    Beth Israel Lahey Health (08/27/25)
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  • Clinician - 12E Integrated Medicine

    UPMC (Pittsburgh, PA)
    …UPMC Mercy Hospital is seeking a Clinician to join our 12E Integrated Medical Acute Care Unit! Why 12E? + Fast-Paced & Diverse: Our 46-bed Acute Care Unit is ... a wide range of acute medical diagnoses and complex care needs. + Learning & Growth: 12E offers a...Senior Clinician title. Three years required for Clinician title. Prior progressive leadership experience strongly… more
    UPMC (08/27/25)
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