- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual ... healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or… more
- Great River Health (West Burlington, IA)
- …Hours: Monday - Friday, 8:00am - 4:30pm Job Description: A Brief OverviewThe Prior Authorization Clinician coordinates and manages the prior authorization ... process to ensure efficient and timely patient care while optimizing resource utilization. This role involves reviewing clinical documentation, verifying insurance… more
- Monte Nido (Miami, FL)
- …comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible for conducting daily administrative and professional ... while providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote - EST or CST hours** **Monte… more
- UPMC (Altoona, PA)
- …GN or new hire on-boarding. Assists the Unit/Department Leader with the peer review process. **Sr. Clinician Requirements:** + Minimum 4 years nursing ... for someone like you to serve as a Sr. Clinician , Clinician or Clinician Fellow...culture of excellence in professional nursing practice and patient care . + Under the direction of the Unit Director… more
- University of Colorado (Aurora, CO)
- **Pavilion Health Clinician -Educator** **Description** **University of Colorado Anschutz Medical Campus** **Department: Medicine- General Internal Medicine** **Job ... Title: Pavilion Health Clinician -Educator** **Position #00819385 - Requisition #32720** **Job Summary:** Key...patients per day, ensuring ample time to provide thorough care without feeling rushed + **Efficient workflow** - Doctors… more
- Molina Healthcare (Grand Island, NE)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
- Molina Healthcare (San Diego, CA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT: 7:30PM - 08:30AM...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Molina Healthcare (IA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (San Francisco, CA)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- The Center for Great Expectations (Somerset, NJ)
- Clinician - Per Diem, Adult Residential Program Somerset, NJ (http://maps.google.com/maps?q=19+Dellwood+Lane+Somerset+NJ+USA+08873) Description Clinician - Per ... week from 9am-3:30pm. Under the supervision of the Program Manager, the Clinician is responsible for performing clinical assessments, creating treatment plans, and… more
- City of Durham (Durham, NC)
- IVC Response Unit Clinician Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4515937) Apply IVC Response Unit Clinician Salary $65,749.00 - ... meet the needs of people in crisis with compassionate care and behavioral health expertise. In the first twelve...a national movement. DCSD is currently hiring a specialized clinician within our Involuntary Commitment (IVC) Response Unit. This… more
- UPMC (Williamsport, PA)
- …in the achievement of a culture of excellence in professional nursing practice and patient care . The Sr. Clinician , under the direction of the Unit Director or ... through the use of the nursing process. The Sr. Clinician , in collaboration with other health care ...hire on-boarding. Assists the Unit/Department Leader with the peer review process. + Four years of nursing experience required.… more
- Molina Healthcare (Cayce, SC)
- …This position will support our South Carolina Medicaid Population processing Prior Authorizations, Inpatient Reviews, and Behavioral health services. Strongly prefer ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Sterling Heights, MI)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Covington, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Idaho Division of Human Resources (ID)
- …level of care required. + Staff preliminary recommendations with supervisor prior to the FPTM. + Lead discussions during the FPTM, sharing clinical impressions ... Qualified Individual Clinician - CYFS Posting Begin Date: 2025/05/06 Posting...responsible for assessing youth referrals for placement in congregate care settings, including the completion of necessary documentation, coordination… more
- Centene Corporation (Austin, TX)
- … process is preferred. + Experience working with providers and healthcare teams to review care services related to mental health and substance abuse is ... Texas State Licensure and/or Compact State Licensure.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
- Municipality of Anchorage (Anchorage, AK)
- MENTAL HEALTH CLINICIAN II (Medical Officer) - Range 24 / EXE (2 Vacancies) Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/4809873) Apply MENTAL ... HEALTH CLINICIAN II (Medical Officer) - Range 24 / EXE...intervention, stabilization, and determining appropriate levels of behavioral health care . The Mobile Crisis Team responds to a wide… more
- Centene Corporation (Tallahassee, FL)
- …review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more