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Molina Healthcare
Overview
Conducts clinical service reviews for behavioral health members to ensure medical necessity and compliance with guidelines. Collaborates with multidisciplinary teams and medical directors to optimize member outcomes and cost-effective care.
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Compensation
Salary not listed
Posted
4 days ago
Responsible for verifying that clinical services are medically necessary and align with established guidelines and insurance policies. Collaborates with multidisciplinary teams to ensure cost-effective member care and compliance with state and federal regulations.
$24 - $56 / HOUR
5 days ago
Responsible for verifying that clinical services are medically necessary and align with established guidelines and insurance policies. The role involves analyzing service requests, processing prior authorizations, and collaborating with multidisciplinary teams to ensure cost-effective member care.
$24 - $51 / HOUR
17 days ago
Conducts clinical service reviews for behavioral health members to ensure medical necessity and compliance with guidelines. Collaborates with multidisciplinary teams to manage care outcomes and process prior authorizations within required timelines.
$26 - $51 / HOUR
24 days ago
The clinician is responsible for assessing service requests to ensure medical necessity, cost-effectiveness, and compliance with clinical guidelines and regulations. They collaborate with multidisciplinary teams and medical directors to facilitate appropriate care outcomes for members.
1 month ago
The clinician is responsible for conducting clinical service reviews to ensure medical necessity and compliance with behavioral health guidelines. They collaborate with multidisciplinary teams and providers to manage member care and facilitate appropriate treatment authorizations.
