- Molina Healthcare (Owensboro, KY)
- …Licensed Masters Level social worker with a current active license for state of KY. The Care Review Clinician Inpatient Review BH will provide prior ... more
- Molina Healthcare (Columbus, OH)
- …Registered Nurse who has a OH Licensure and/or have Compact RN license. The Care Review Clinician will provide prior authorization for outpatient services ... more
- Molina Healthcare (Manhattan, NY)
- …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
- Molina Healthcare (Vancouver, WA)
- …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
- Molina Healthcare (Columbus, OH)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... more
- Molina Healthcare (Brooklyn, NY)
- …eligible for Medicaid and Medicare. We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. Experience with Utilization ... more
- Molina Healthcare (Columbus, OH)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... more
- Molina Healthcare (Bothell, WA)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... more
- Molina Healthcare (Columbus, OH)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional ... more
- Highmark Health (Carson City, NV)
- …assessments regarding potential claims.Communicate with TPA Case Managers and/or their contracted CM/ UM vendors to ensure effective case/ care management, of all ... more
- Molina Healthcare (San Diego, CA)
- …to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional ... more
- US Tech Solutions (Chicago, IL)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF ... more
- AmeriHealth Caritas (Charleston, SC)
- …and providers to collect all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer's discretion to retain ... more
- US Tech Solutions (May, OK)
- …. MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF ... more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... more
- Covenant Health (Nashua, NH)
- …clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk Social Worker/Behavioral Health Clinician because of ... more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... more
- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to ... more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF ... more