• UM Registered Nurse

    Molina Healthcare (Manhattan, NY)
    …people who are eligible for Medicaid and Medicare.** **We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse more
    Molina Healthcare (12/14/24)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Yonkers, NY)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional… more
    Molina Healthcare (12/20/24)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …assigned. Qualifications Licenses and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... Certified Case Manager preferred + For SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in...UM Only: Experience must be with a Managed Care Organization or Health Plan. + For SelectHealth ETE… more
    VNS Health (12/14/24)
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