- Molina Healthcare (Chicago, IL)
- …one within 30 days of hire. + MCO experience preferred. + UM experience preferred- prior auth, inpatient review , concurrent review and prior experience ... 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
- US Tech Solutions (Chicago, IL)
- …objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + ... clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews… more
- CVS Health (Rosemont, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... limited to: hospital setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible for care coordination and case… more
- Prime Healthcare (Chicago, IL)
- …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING Required qualifications: + Licensed clinician in your state. + Grandfathered prior to April ... case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians. Assesses… more