UM Supervisor, Care Review

For this position we are seeking a California (RN) Registered Nurse with 3 years+ Concurrent Review/ Utilization Review / Utilization Management and must have Interqual, and MCG guidelines experience. CURRENT RN CALIFORNIA LICENSURE IS REQUIRED FOR THIS POSITION. California is not a compact state at this time. This department operates 365 days a year and we...

For this position we are seeking a California (RN) Registered Nurse with 3 years+ Concurrent Review/ Utilization Review / Utilization Management and must have Interqual, and MCG guidelines experience. CURRENT RN CALIFORNIA LICENSURE IS REQUIRED FOR THIS POSITION. California is not a compact state at this time. This department operates 365 days a year and we...

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 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 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 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...

**_Care Review Processor with Managed Care Exp. (Remote - PST)_** - able to work late hours AND weekends.**Position Summary**: Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Molina Members who require hospitalization and/or utilization review for other healthcare services. Checks eligibility and verifies...

**Facility Overview** At 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 multi-disciplinary approach focusing on...

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 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 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...

Park Avenue Extended Care - Job Title: Weekend RN Supervisors - 7-3 and 3-11 Shifts or even(12-Hour Shifts) Job Description: Join our team at Park Avenue Extended Care Facility in Long Beach, New York! Our facility is known for its supportive and collaborative culture. Employees love the positive work environment and the commitment to making a difference in...

Park Avenue Extended Care - Job Title: Weekend RN Supervisors - 7-3 and 3-11 Shifts or even(12-Hour Shifts)Job Description:Join our team at Park Avenue Extended Care Facility in Long Beach, New York! Our facility is known for its supportive and collaborative culture. Employees love the positive work environment and the commitment to making a difference in...

Job DescriptionJob DescriptionOverviewThis position is responsible for all aspects of nursing care and the supervision of clinical support and nursing staff. The RN Supervisor is responsible for overseeing the day-to-day staff activities. Will interact, coordinate, and facilitate activities with all disciplines, departments, and appropriate regulatory...

**Overview** **Responsibilities** The Laboratory Supervisor in Blood Bank is responsible for the technical performance and for the management of the personnel in the Blood Bank department. The Laboratory Supervisor in Blood Bank must be able to work in all areas within the section. The Laboratory Supervisor in Blood Bank must also work closely with the...

Park Avenue Extended Care - Are you a seasoned, compassionate, and dedicated RN with a wealth of clinical and managerial expertise? Do you have a fervor for guiding and mentoring fellow nursing professionals? If your answer is an emphatic "yes" to these questions, your search ends here! Welcome to Park Avenue Extended Care, where we are on the lookout for...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

Overview: Founded as a faith-based hospital in 1923 by the Sisters of Charity of the Incarnate Word, Dignity Health – St. Mary Medical Center is a 389-bed, acute care, nonprofit hospital located in Long Beach, California.   The hospital offers a full complement of services, including a Level II trauma center, cardiac and vascular center, surgical weight...