- Molina Healthcare (Yonkers, NY)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Yonkers, NY)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , ... emergency room. 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 (Yonkers, NY)
- …At least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Atlantic Health System (Morristown, NJ)
- …+ 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers ... Conducts abbreviated behavioral health evaluations to determine most appropriate level of care treatment for both adult and pediatric patients. + Conduct clinical… more
- Mount Sinai Health System (New York, NY)
- …clinical services, including faculty practice, off-site locations. + Oversee the quality of care on the inpatient service, the outpatient medical clinics, and ... have an understanding of the evolving landscape of health care and its effects on health care ...the Division of Infectious Diseases provides consultation on both inpatient and outpatient service areas, offering expert guidance on… more
- WelbeHealth (Brooklyn, NY)
- …and guidance to Nurse Practitioners + Oversee participants' use of medical specialists and inpatient care + Participate in rotating night and weekend call + ... care . PACE is an ideal job for a clinician , as it allows you to spend ample time...as dictated by PACE standards and participants' needs + Review outcome and utilization data, including adverse events, hospitalizations,… more