• LPN - Utilization Mgmt

    Guthrie (Cortland, NY)
    Summary The LPN Utilization Management (UM) Reviewer , in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the ... Packer Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior… more
    Guthrie (10/28/25)
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  • Care Review Clinician (LVN/ LPN )

    Molina Healthcare (Syracuse, NY)
    …unit or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At… more
    Molina Healthcare (11/12/25)
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