- Molina Healthcare (Kenosha, WI)
- …we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care , Concurrent Review / Utilization Review / Utilization Management and ... within 30 days of employment._** **_Ability/knowledge to cross train, inpatient medical to inpatient BH or ...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- US Tech Solutions (Chicago, IL)
- …MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF UTILIZATION ... objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. +… more