Care Review Clinician I

**JOB DESCRIPTION**Care Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a RN (Registered Nurse) 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....

Clinician, Housing Support Services Program Job Title: Clinician, Housing Support Services Program (HSSP) Dept: Mental Health Services Schedule: Monday-Friday, 8:00am-4:30pm Location: Long Beach, CA SUMMARY The Housing Supportive Services Program (HSSP) is a specialized program that provides comprehensive and intensive field-based community mental health...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF FLORIDA***Position...

Description About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 280,000 members in California, Arizona, Nevada, Texas...

Job DescriptionJOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE, OR LVN) JOB DESCRIPTIONJob SummaryMolina 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...

Job DescriptionJOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE, OR LVN) For this position we are seeking a Nurse with previous experience in Prior Auth Utilization Management and knowledge of Interqual or MCG guidelines. CALIFORNIA LICENSURE IS REQUIRED. CALIFORNIA IS NOT A COMPACT STATE AT THIS TIME. Out of state candidates must work...

Optum is seeking an Endocrinologist to join our team in a clinician-led care environment.As a member of our Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data, and support of a global organization behind you so you can help your patients live healthier...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF FLORIDA***Position...

Medix is looking to hire a Behavioral Health Clinican (ACSW/AMFFT/LMFT/LCSW) in the following locations: Signal Hill, CA Cerritos, CA Alhambra, CA Costa Mesa, CA Laguna woods, CA Santa Ana, CA Job Duties: Effectively facilitates group treatment modalities within scope of practice, as assigned by the Program Director, using approved curriculum's and...

Job SummaryMolina Healthcare seeks a skilled Medical Record Review Lead to join our team. As a key member of our Quality Improvement department, you will be responsible for conducting data collection and abstraction of medical records for HEDIS projects and other quality initiatives.Key ResponsibilitiesLead the coordination and preparation of HEDIS medical...

Description Title: RN, Coordinator Quality Peer Review Location: Long Beach Department: Q uality Assurance Status: Full-time Shift: Day Pay Range* : $53.97/hr - $78.24/hr  MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care,...

Title: Director, Biomedical Director Location: Long Beach, CA Department: Foundation Status: Full-time Shift: Days Pay Range*: $120k - $165k/annually MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout...

About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 280,000 members in California, Arizona, Nevada, Texas and New...

Job DescriptionAt Tarzana Treatment Centers, Inc., we are seeking a highly skilled Case Manager I to join our interdisciplinary team. As a Case Manager I, you will play a vital role in providing care coordination services to patients, including linkage to needed resources.Key Responsibilities:Conduct comprehensive assessments of patients' needs and develop...

Optum CA is seeking an Endocrinologist to join our team in Long Beach, CA.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.Here,...

Optum CA is seeking a Gastroenterologist Fellow to join our team in Long Beach, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live.   As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.   At Optum, you’ll have...

Job SummaryWe are seeking a highly skilled LPN Medical Reviewer to join our team at PGBA. As a Medical Reviewer, you will play a critical role in evaluating medical records to determine medical necessity and performing utilization management of professional, inpatient, outpatient facility benefits or services and appeals.Key ResponsibilitiesEvaluate medical...

Job Summary:Telecare Corporation is seeking a skilled Mental Health Worker I to join our team at La Casa Mental Health Rehabilitation Center (MHRC). As a key member of our rehabilitation team, you will provide direct care and support to adults with serious mental illness, promoting their recovery and well-being.Responsibilities:Provide safe, effective, and...

Optum CA is seeking a Gastroenterologist Fellow to join our team in Long Beach, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical...

The Up Center is the oldest and largest child and family services agency in Hampton Roads and has been part of our community since 1883. Purposely evolving over the years to meet the changing needs of our region, we continue the work of our predecessors by responding to the needs of our communities. We are committed to partnering with children, families, and...