- Molina Healthcare (Rochester, 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 (Rochester, NY)
- …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 Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Care Navigator - BHN Department: Inpatient Psychiatric Location: St. Mary's Campus, 89 Genesee Street, Rochester, NY 14611Hours Per Week: 36(12 hour ... Integrated Care team that includes the Primary Care Provider (PCP), Behavioral Health Clinician (BHC),...and manage care . + Facilitate the Integrated Care team's review of care … more
- University of Rochester (Brighton, NY)
- …with the legal system, who are not engaging in traditional outpatient clinical care . Oversees all administrative and clinical matters on the ACT Team. Manages ... to the community, fostering referrals, and assumes teaching and direct clinical care responsibilities. The team provides most of its interventions in the community,… more
- Rochester Regional Health (Rochester, NY)
- …proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record. + Demonstrate knowledge ... and extensive knowledge of complex disease processes in an inpatient setting. + Exhibits excellent observation skills, analytical-critical thinking, problem… more