- Molina Healthcare (Columbus, OH)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or… more
- Molina Healthcare (Columbus, OH)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... licensure required** **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization...in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Molina Healthcare (Columbus, OH)
- …Qualifications** * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Columbus, OH)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and… more
- Molina Healthcare (Columbus, OH)
- …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
- Prime Therapeutics (Columbus, OH)
- …Title** Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building and maintaining customer relationships as well ... to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the customer;… more
- Cardinal Health (Columbus, OH)
- …+ Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen in order to not delay patient care ... standards. + Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary.… more