CARE REVIEW CLINICIAN, INPATIENT REVIEW

Job DescriptionJOB DESCRIPTIONCare Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong inpatient medical and analytical experience is needed. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role....

**JOB DESCRIPTION** Care Review Clinician, Inpatient Review- Behavioral Health For this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong inpatient medical and analytical experience is needed. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good...

For this position it will be helpful to have previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and prior knowledge of Interqual / MCG guidelines. Basic knowledge of Utilization Management processes desired. COMPACT LICENSURE IS REQUIRED to support multiple states. Further Details to be discussed during our...

For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT RN LICENSURE IS PREFERABLE to support multiple states. **WORK HOURS**: : 5 days / daytime work schedule 8:30AM to 5:30PM This department operates...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

**DEPARTMENT FUNCTION**: PRIOR AUTH, ADVANCED IMAGING **WORK HOURS**: 5 days / daytime work schedule TUESDAY THRU SATURDAY **OR** SUNDAY THRU THURSDAY Further Details to be discussed during our interview process. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

**JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients...

Job DescriptionJob DescriptionFacility OverviewAt Ocean View Psychiatric Health Facility, we are committed to serving as a community resource, providing the highest quality of mental health services. Currently, Ocean View operates as an adult 39-bed voluntary acute in-patient facility, offering private rooms and individualized care through a...

**JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed in the state they reside. The RN will provide prior authorization for outpatient services for the UT Medicaid population. Strong outpatient medical and hospital analytical experience is needed. Excellent computer multi-tasking skills and good productivity is...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

Job DescriptionJob DescriptionSalary: $21/hr. W2Care Review Processor with Managed Care Exp. (Remote – PST) We are looking to hire a candidate with the experience and skill sets mentioned for one of our major clients within the Health Insurance industry. This is a 3-month contract opportunity with the potential for extension (s). This is...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...

Job DescriptionPosition Summary:The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well as acute inpatient admission. The Nurse Reviewer will review for appropriate care and...

Job DescriptionJob DescriptionFast growing, successful and well respected personal injury law firm based in West Palm Beach County, Florida is looking for a legal assistant to join their team. This is an ideal position for a hard-working, highly motivated person looking for an opportunity to grow within a fast past environment in the legal field and to help...

Job DescriptionJob DescriptionFast growing, successful and well respected personal injury law firm based in West Palm Beach County, Florida is looking for a Personal Injury Attorney to join their team. The firm prides itself in providing exceptional advocacy and representation to people throughout South Florida who have been hurt by the careless conduct of...