Clinician Salary at Progression Counseling Group BETA

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 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. KNOWLEDGE/SKILLS/ABILITIES Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts inpatient reviews to determine financial responsibility for Molina Healthcare an

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 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. KNOWLEDGE/SKILLS/ABILITIES Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts inpatient reviews to determine financial responsibility for Molina Healthcare an

JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who has a OH Licensure and/or have Compact RN license. The Care Review Clinician will provide prior authorization for inpatient services for the OH Medicaid population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience in Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital. WORK SCHEDULE: Monday thru Saturday 6:00AM to 7:00PM EST (Must be able to work on Saturdays, options for 5- or 4-day work schedules, where one day must be Saturday) This is a Remote position, home office with internet connectivity of high speed required. Job Summary Molina Healthcare Services (HCS) works with members, provide

JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who has a OH Licensure and/or have Compact RN license. The Care Review Clinician will provide prior authorization for inpatient services for the OH Medicaid population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital. Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience in Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital. WORK SCHEDULE: Monday thru Saturday 6:00AM to 7:00PM EST (Must be able to work on Saturdays, options for 5- or 4-day work schedules, where one day must be Saturday) This is a Remote position, home office with internet connectivity of high speed required. Job Summary Molina Healthcare Services (HCS) works with members, provide

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 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. KNOWLEDGE/SKILLS/ABILITIES Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts inpatient reviews to determine financial responsibility for Molina Healthcare an

JOB DESCRIPTION Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose UM experience is within another MCO like Molina; experience with Interqual/MCG guidelines is needed. Excellent computer, multi-tasking skills, and analytical thought processes are vital to be successful in this role. Productivity is important with specific turnaround times that must be met. To start, hours are Monday Friday, 8 AM 5 PM in your time zone; there may also be weekend and/or holiday coverage due to business needs. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, f

JOB DESCRIPTION Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose UM experience is within another MCO like Molina; experience with Interqual/MCG guidelines is needed. Excellent computer, multi-tasking skills, and analytical thought processes are vital to be successful in this role. Productivity is important with specific turnaround times that must be met. To start, hours are Monday Friday, 8 AM 5 PM in your time zone; there may also be weekend and/or holiday coverage due to business needs. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, f

JOB DESCRIPTION Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior authorization requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose UM experience is within another MCO like Molina; experience with Interqual/MCG guidelines is needed. Excellent computer, multi-tasking skills, and analytical thought processes are vital to be successful in this role. Productivity is important with specific turnaround times that must be met. To start, hours are Monday Friday, 8 AM 5 PM in your time zone; there may also be weekend and/or holiday coverage due to business needs. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note. Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, f