- Elevance Health (Cincinnati, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician ** **Location:** This role enables ... hours may be necessary based on company needs. The ** Medical Management Clinician ** responsible for ensuring appropriate, consistent administration… more
- Molina Healthcare (Cincinnati, OH)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... member care. The candidate must have Medicare Appeals and/or Utilization Management knowledge. Work hours are Monday-Friday 8:00am- 5:00pm PST. This position… more
- Molina Healthcare (Cincinnati, OH)
- …in Healthcare Management (CPHM). * Recent hospital experience in a medical unit or emergency room. Previous experience in managed care Prior Auth, Utilization ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.… more
- Molina Healthcare (Cincinnati, OH)
- …Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (Cincinnati, OH)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Nurse (RN). **Required Experience** 1-3 years of hospital or medical clinic experience. **Required License, Certification, Association** Active, unrestricted State… more
- Molina Healthcare (Cincinnati, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- ChenMed (Cincinnati, OH)
- …people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- OptiMindHealth (Cincinnati, OH)
- …Work/life balance! Leadership and advancement opportunities! Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... to our clinicians. Packages can be customized towards every clinician 's needs. Packages can include some combination of: ....can include some combination of: . Competitive Salary . Medical benefits . Paid malpractice policy . CEU reimbursement… more
- Gentiva (Hamilton, OH)
- …to patients and support to families, while also serving as a floating clinician -temporarily assigned to different hospice branches based on census needs or staffing ... Recognition Programs * Teammate Assistance Fund **Additional Full-Time Benefits:** * Medical , Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle… more