- Molina Healthcare (Yonkers, NY)
- …Bachelor's Degree in Nursing **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Hartford HealthCare (Norwalk, CT)
- …3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and ... _*Program Summary:*_ St. Vincent's Behavioral Health Services provides a continuum of care , beginning with an initial diagnosis and strengthening care by… more
- Centene Corporation (New York, NY)
- …a New York State license or identification card.** **Position Purpose:** The Utilization Review (UM) Clinician (LPN) performs clinical reviews to assess medical ... gathering of clinical information and may also provide education on the medical review process. + The Utilization Management clinician (LPN) makes coverage… more
- WMCHealth (Valhalla, NY)
- …and specificity of care . Responsibilities: Establish a mechanism for concurrent review of inpatient medical records for accuracy and adequacy of physician ... and processes. The Physican Champion will provide clinically based concurrent review of patient medical records to ensure documentation accurately reflects the… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …(MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ... solid tumor oncology, hematologic malignancies, subspecialty medicine and supportive and acute care services. Offering a range of services both in multiple sites in… more