- Molina Healthcare (Manhattan, NY)
- …disabled 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
- 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
- Molina Healthcare (New York, 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
- Highmark Health (Trenton, NJ)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... Certification in utilization management or a related field + Experience in UM /CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** (any of the… more
- VNS Health (Manhattan, NY)
- …as assigned. Qualifications Licenses and Certifications:Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization or Health Plan.For SelectHealth ETE Only: Experience in Public Health… more
- Molina Healthcare (New York, NY)
- _This position requires an actively licensed Registered Nurse_ **JOB DESCRIPTION** **Job Summary** The mission of Clinical Operations is to drive value through an ... model concept design. + Collaborate with other COE leaders across the enterprise UM , LTSS, BH, Quality, Office of the CMO, Network, Government Contracts, Growth and… more