- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Yonkers, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Yonkers, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Yonkers, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Atlantic Health System (Martinsville, NJ)
- …on acuity. Reviews and appropriately responds to patient messages, in collaboration with clinician (s). + RN should triage all calls as needed. Responsible for ... This RN will be primarily responsible for utilizes nursing...Promotes better patient outcomes by reviewing open gaps of care and coordinating closure of care gaps.… more
- Centene Corporation (New York, NY)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... preferred. Experience working with providers and healthcare teams to review care services related to mental health... only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
- Kestra Medical Technologies, Inc (Piscataway, NJ)
- …+ Knowledge of MS Office, Excel, PowerPoint, MS Teams + Direct cardiac patient care experience - RN , RT, CVIS, Paramedic, CRM WORK ENVIRONMENT + Variable ... comfort and dignity. Innovating versatile new ways to deliver care , Kestra is helping patients and their care...the patient to determine the correct garment size + Review and transmit essential paperwork with the patient to… more