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CARE REVIEW CLINICIAN II job - Confidential

 
Company Name

Confidential jobs

Position Type Full-Time
Job Posted June 16, 2017
Source www.careerbuilder.com

CARE REVIEW CLINICIAN II  



... the right place at the right time This job will have the following responsibilities: Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines Provides concurrent review and prior authorizations (as needed) according to policy for ¬ members as part of the Utilization Management team Qualifications & Requirements: Interqual or Milimann Utilization Management experience Healthcare background¬ Required License: LPN, or RN, must be a FL state license. ¬ ...

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