• Utilization Management

    Centene Corporation (New York, NY)
    …information and may also provide education on the medical review process. + The Utilization Management clinician ( LPN ) makes coverage decisions based ... **Must have a New York State license or identification card.** **Position Purpose:** The Utilization Review (UM) Clinician ( LPN ) performs clinical reviews to… more
    Centene Corporation (12/13/24)
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  • UM Registered Nurse Care Review…

    Molina Healthcare (Manhattan, NY)
    …an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's ... Care Review Clinicians with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred.** **KNOWLEDGE/SKILLS/ABILITIES**... Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN more
    Molina Healthcare (12/14/24)
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