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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per Hour
Job Code: 348679
End Date: 2024-05-24
Days Left: 20 days, 3 hours left
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State Registered...
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Hourly pay
Remote job
...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term... ...treatments and/or procedures.
Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and...
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...Job Description
Job Description Seeking a Care Review Clinician (RN, LPN or LVN - MUST BE LICENSED IN NY STATE ) to work with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management...
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Remote job
...Windsor Laurelwood Center for Behavioral Medicine
Utilization Review Clinician
We are looking for a Utilization Review Clinician to join... ...review of patients. Assure optimum quality of patient care in the most cost-effective manner. Additionally, you work closely...
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Relief
Local area
...Job Description
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE
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...
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Holiday work
Immediate start
Remote job
Home office
Flexible hours
...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term... ...evidence based clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and...
Suggested
Remote job
...diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures...
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Hourly pay
Holiday work
Remote job
Flexible hours
...clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspec Clinical, Clinician, Appeals, Medical Director, Practical Nurse, Vocational Nurse, Healthcare...
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...flexibility.
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and... ...state required.
Master's degree for behavioral health clinicians required.
Clinical knowledge and ability to review and/...
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Hourly pay
Holiday work
Remote job
Flexible hours
We're in search of a compassionate Care Review Clinician (RN, LPN, or LVN - Must Be Licensed in NY State) to join our Utilization Management team. This role primarily focuses on conducting inpatient medical necessity/utilization reviews and other utilization management...
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Hourly pay
Full time
Remote job
Monday to Friday
...Wound Care Clinician- Full Time RN
ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility...
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Full time
...Description
Care Manager RN in Utilization Review Unit at Providence St. Patrick Hospital Missoula, MT
The Nurse Case Manager (NCM) is responsible to manage a caseload of patients across the continuum of healthcare services and assure optimal quality outcomes...
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Part time
Local area
Shift work
Monday to Friday
...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-... ...and Medicare. We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization...
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Remote job
Monday to Friday
...Percentage
Up to 50%
Job Shift
1st Shift
Description
Care Response Clinician
Are you looking for a new opportunity?
Recovery... ...residents. You'll be part of an interdisciplinary team to review each day's mental/behavioral health calls/incidents and develop...
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Holiday work
Full time
Remote job
Shift work
Day shift
Description:
Up to $7500 Sign on Bonus
JOB PURPOSE:
Certified Clinician responsible for the assessment, evaluation, and treatment of... ...experience required unless completion of an approved Wound Care/Ostomy
residency program.
MINIMUM LICENSURE/CERTIFICATION REQUIRED...
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Permanent employment
Full time
Relocation bonus
Weekend work
Day shift
Weekday work
...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term... ..., inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing...
...to evaluate, propose, plan and perform patient assessment and treatments.
KEY RESPONSIBILITIES:
1. Provides professional wound care/ ostomy services to all age groups, to ensure quality of patient care.
a. Maintains patient record including assessments, plans of...
Permanent employment
Relief
Gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria. Collects and analyzes utilization information....
Contract work
Temporary work
Work experience placement
Directs the Clinical Resource Management department to include the Utilization Management (UM) plan and associated programs to impact resource management and compliance of all state, federal and accreditation requirements. Minimum Specifications Educ Management, Director...
...Description
The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent...
