• Care Review Clinician - NM…

    Molina Healthcare (Fort Worth, TX)
    …healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able… more
    Molina Healthcare (09/15/25)
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  • Care Review Clinician , Prior…

    Molina Healthcare (Idaho Falls, ID)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... (RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization… more
    Molina Healthcare (07/12/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Cleveland, OH)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... or a compact licensure. The ideal candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates… more
    Molina Healthcare (08/16/25)
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  • Care Review Clinician (RN)…

    Molina Healthcare (Los Angeles, CA)
    …other clinical programs. * Collaborates with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and ... * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent combination of… more
    Molina Healthcare (09/06/25)
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  • Care Review Clinician , Prior…

    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 ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **MULTI STATE /… more
    Molina Healthcare (08/31/25)
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  • Care Review Clinician

    Molina Healthcare (Phoenix, AZ)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... reliable transportation. **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
    Molina Healthcare (09/11/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Miami, FL)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... and holidays.** 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
    Molina Healthcare (08/23/25)
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  • Care Review Clinician

    Molina Healthcare (Wayne, MI)
    …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... 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 (09/14/25)
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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 ... experience in mental health settings and utilization management / review . * Department: PHCO BH UM supporting...rotation, and occasional overtime **Position Purpose:** Performs a clinical review and assesses care related to mental… more
    Centene Corporation (08/21/25)
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  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    …with the VP of UM to direct the efforts of the utilization review and pre-certification functions to accomplish objectives within policy and budget. + Serve as a ... the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will...on a weekly basis + Provide education to internal care management and clinician staff + Provide… more
    Commonwealth Care Alliance (09/05/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF ... objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. +… more
    US Tech Solutions (07/18/25)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …. MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF ... objectives Responsibilities: . Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. .… more
    US Tech Solutions (07/18/25)
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  • Call Center Rep Associate

    University of Michigan (Ann Arbor, MI)
    …relate to this position. **Job Summary** **Department Summary:** The University of Michigan ( UM ) University Health & Counselling (UHC), a unit of Student Life, is a ... body of more than 50,000 students, as well as UM faculty and staff. UHC provides clinical services throughout...and staff. UHC provides clinical services throughout its primary care and specialty clinics, as well as health and… more
    University of Michigan (09/06/25)
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  • Utilization Management Clinical Consultant - must…

    CVS Health (Columbus, OH)
    …heart, each and every day. **Position Summary** The Behavioral Health UM Clinician position is designed to clinically review of behavioral health prior ... or experience. Must reside in the state of Ohio. + Managed care /utilization review experience + Be clinically and culturally competent/responsive with… more
    CVS Health (09/14/25)
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  • Laboratory Technician

    University of Michigan (Ann Arbor, MI)
    …patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership ... guided by our Strategic Principles and has three critical components; patient care , education and research that together enhance our contribution to society. **Why… more
    University of Michigan (08/09/25)
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  • Assistant Professor of Clinical - OBGYN, Pediatric…

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... an Assistant Professor of Clinical in Pediatric Adolescent Gynecology on the Clinician Educator track will have clinical responsibilities within the Department of… more
    University of Miami (07/24/25)
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  • Quality Management Nurse Consultant

    US Tech Solutions (RI)
    …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF ... **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from… more
    US Tech Solutions (07/18/25)
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  • Assistant or Associate Professor of Clinical…

    University of Miami (Miami, FL)
    …pediatrics units, students and residents are active participants in our multidisciplinary care . Our faculty are highly dedicated clinician educators committed to ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Academic Pediatric Hospitalist… more
    University of Miami (07/16/25)
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  • Registered Dietitian Nutrition

    University of Michigan (Ann Arbor, MI)
    …Medicine is seeking a full-time Registered Dietitian Nutritionist (RDN) to provide nutrition care to a variety of medical and surgical patients. This position will ... perform nutrition assessments and develop nutrition care plans using the Academy of Nutrition and Dietetics...+ Certified Diabetes Educator (CDE) + Certified Nutrition Support Clinician (CNSC) + Certified Specialist in Oncology Nutrition (CSO)… more
    University of Michigan (09/15/25)
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  • Manager, Research Laboratory

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . This ... procedures, and that technical/research personnel is informed of and comply with UM fiscal and personnel policies and procedures; maintains appropriate files and… more
    University of Miami (08/12/25)
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