Care Review Clinician I
Found in: Talent US C2 - 2 weeks ago
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 authorizations and/or concurrent review.
Maintains department productivity and quality measures.
Attends regular staff meetings.
Assists with mentoring of new team members.
Completes assigned work plan objectives and projects on a timely basis.
Maintains professional relationships with the provider community and internal and external customers.
Conducts self in a professional manner at all times.
Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct.
Complies with required workplace safety standards.
Required Experience: Minimum 0-2 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
Required Licensure/Certification: Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing.
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Care Review Clinician, Inpatient Review
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Care Review Clinician, PA
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Long Beach, United States Molina Healthcare Full time**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...
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Utilization Review Coordinator
Found in: Lensa US P 2 C2 - 3 weeks ago
Long Beach, United States Collaborative NeuroScience Network Full timeJob Description Job Description 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...
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Utilization Review Coordinator
Found in: Lensa US P 2 C2 - 3 weeks ago
Long Beach, United States Collaborative NeuroScience Network Full timeJob Description Job Description 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...
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Utilization Review Coordinator
3 weeks ago
Long Beach, United States COLLABORATIVE NEUROSCIENCE NETWORK LLC Full timeJob 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...
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Utilization Review Coordinator
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Long Beach, United States COLLABORATIVE NEUROSCIENCE NETWORK LLC Full timeJob 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...
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BH/DS CLINICIAN I
Found in: Careerbuilder One Red US C2 - 3 days ago
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