• Nurse Clinician : Prior

    Molina Healthcare (San Francisco, CA)
    **_JOB TITLE: CARE REVIEW CLINICIAN , PRIOR AUTHORIZATION (REGISTERED NURSE , OR LVN)_** **For this position we are seeking a Nurse with previous ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
    Molina Healthcare (10/17/24)
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  • Care Review Clinician , Prior

    Molina Healthcare (Bowling Green, KY)
    …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... position we are seeking a (RN or LVN/ LPN) Nurse with previous experience in Hospital Acute Care, Concurrent...+ Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +… more
    Molina Healthcare (11/09/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (WA)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... **CARE REVIEW CLINICIAN INPATIENT REVIEW REGISTERED NURSE : KENTUCKY REMOTE** **_For this position we are seeking a Registered Nurse with previous Utilization… more
    Molina Healthcare (11/06/24)
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  • Advanced Practice Clinician PA NP…

    Ascension Health (Schaumburg, IL)
    …specifics._ **Responsibilities** Ascension Illinois is looking for an Advanced Practice Clinician , Physician Assistant or Nurse Practitioner for our Neurology ... duties for the neurology service such as managing clinical questions, insurance pre- authorization peer reviews, and form completion + Acts as a resource to… more
    Ascension Health (10/30/24)
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  • Behavioral Health Clinician (LCSW, LCPC,…

    Carle (Urbana, IL)
    Behavioral Health Clinician (LCSW, LCPC, LMFT) - Senior Behavioral Health 3 West + Department: Senior Behavioral Hlth - CPRH + Entity: Peoria Service Area + Job ... admission assessments and intakes at the direction of the Nurse Manager* When assisting as a team member to...is clinically appropriate and that plan is in place prior to discharge.* Keeps patient/family informed of plans as… more
    Carle (10/14/24)
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  • Care Review Clinician , PA LPN Remote in WA…

    Molina Healthcare (Seattle, WA)
    …WA state LPN licensure. Candidates with p** **revious Utilization Management and Prior Authorization experience are highly preferred** **.** **_Further details ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
    Molina Healthcare (11/02/24)
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  • Behavioral Health Clinician (Utilization…

    Molina Healthcare (Richmond, KY)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... **_For this position we are seeking a Registered Nurse or Licensed Social Worker with PSYCH /...for this role. We can consider a RN (Registered Nurse ), LCSW, LMFT, or LPCC._** **_WORK SCHEDULE: SUNDAY thru… more
    Molina Healthcare (10/12/24)
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  • Inpatient Review Clinician (RN) Behavioral…

    Molina Healthcare (Lincoln, NE)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... **_For this position we are seeking a (RN) Registered Nurse with previous experience in BEHAVIORAL HEALTH, Psychiatric Hospital Acute Care, Concurrent… more
    Molina Healthcare (11/10/24)
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  • (RN) Behavioral Health: Inpatient Review…

    Molina Healthcare (OH)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... **_For this position we are seeking REGISTERED NURSE (RN) or Licensed Clinical Social Worker (LCSW) previous experience in Hospital Acute Care, Concurrent Review/… more
    Molina Healthcare (11/09/24)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Bothell, WA)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... are seeking a candidate with WA State LICSW, LMHC, LMFT, or Psychiatric Nurse RN licensure. Candidates should be proficient with Microsoft Office products, ie Excel,… more
    Molina Healthcare (11/09/24)
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