• UM Care Review

    Molina Healthcare (New York, NY)
    …people who are eligible for Medicaid .** **We are looking for a RN Care Review Clinician with Prior Authorization experience. Candidates with Utilization ... to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional… more
    Molina Healthcare (07/31/24)
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  • Utilization Management Clinician LPN

    Centene Corporation (New York, NY)
    …York and hold an active New York driver's license. **Position Purpose:** The Utilization Review ( UM ) Clinician (LPN) performs clinical reviews to assess ... gathering of clinical information and may also provide education on the medical review process. + The Utilization Management clinician (LPN) makes coverage… more
    Centene Corporation (07/28/24)
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