• UM Care Review Clinician PA Mltc RN…

    Molina Healthcare (New York, NY)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... of service. **This position will support our Senior Whole Health business.** **_Senior Whole Health by Molina_**....** **We are looking for a RN Care Review Clinician with Prior Authorization experience. Candidates with Utilization Management… more
    Molina Healthcare (06/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (SC)
    **_JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW BEHAVIORAL HEALTH : REGISTERED NURSE (2 openings)_** **_For this position we are seeking a (RN) ... Registered Nurse with previous experience in Behavioral Health Acute Care, Concurrent Review/ Utilization...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
    Molina Healthcare (06/25/24)
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  • Utilization Review Clinician

    Centene Corporation (Tallahassee, FL)
    …WORK SCHEDULE IS MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position Purpose:** Performs a ... in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
    Centene Corporation (06/23/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Long Beach, CA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... **JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
    Molina Healthcare (07/01/24)
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  • Care Review Clinician , Prior Auth (RN)

    Molina Healthcare (TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/29/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (KY)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/25/24)
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  • Care Review Clinician , PA (RN) - Ltss

    Molina Healthcare (Lexington, KY)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/25/24)
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  • Care Review Clinician RN, Inpatient Review…

    Molina Healthcare (Fredericksburg, VA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Louisville, KY)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/25/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Long Beach, CA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or… more
    Molina Healthcare (06/25/24)
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  • Behavioral Health Medical…

    Kepro (Indianapolis, IN)
    …partner for health solutions in the public sector. Acentra seeks a Behavioral Health Medical Director-Psychiatrist OR HSPP with an Indiana, Michigan, or ... ) to join our growing team. Job Summary: The Behavioral Health Medical Director shall provide the...State of Indiana, Michigan, or Illinois + Utilization Management ( UM ) review experience + Experience as a physician executive… more
    Kepro (06/26/24)
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