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Molina Healthcare
Charleston, South Carolina
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Imperial Beach, California
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United States - Nationwide
The Foundation for Delaware County
Eddystone, Pennsylvania
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United States - Nationwide
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The Bronx, New York
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Lowell, Massachusetts
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Care Review Clinician, Inpatient Review (RN) Remote
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 care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a high-volume environment. Experience and knowledge of the NYS Medicaid guidelines is highly preferr
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