- Molina Healthcare (Rochester, NY)
- …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 (Rochester, NY)
- **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 (Rochester, NY)
- …barriers to care ); preparation for Quality Improvement Compliance surveys; preparation and review of potential quality of care and critical incident cases; ... to focus on parts of the process where a clinician 's perspective would be valuable to uncover process gaps...Experience** 5 - 7 years hospital clinical experience and prior managed care . Excellent professional writing skills,… more