• Utilization Review Clinician

    Centene Corporation (Montgomery, AL)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or EST time zones.** **2-4 years of related experience required.** ** Utilization Management- Behavioral and substances abuse experience strongly preferred.**… more
    Centene Corporation (04/17/25)
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  • Utilization Review /Appeals…

    Centene Corporation (Tallahassee, FL)
    …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... and/or have obtained the state required licensure as outlined by the applicable state required. Behavioral health clinical knowledge and ability to review and/or… more
    Centene Corporation (04/03/25)
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  • Senior Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
    City and County of San Francisco (04/03/25)
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  • Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not ... of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than...Housing and the Department of Public Health can then review your application and contact you directly with details… more
    City and County of San Francisco (04/03/25)
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  • Behavioral Health Masters Clinician

    Dartmouth Health (Keene, NH)
    …critical pathways and outcome measurement preferred. Experience in case management, utilization review and discharge planning preferred. Knowledge of JCAHO/NCQA ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician...is sensitive to patient needs and expectations, promote effective utilization of resources, and support physician practice, while emphasizing… more
    Dartmouth Health (03/31/25)
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  • Behavioral Health Clinician - Full…

    Atlantic Health System (Florham Park, NJ)
    …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
    Atlantic Health System (03/26/25)
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  • Behavioral Health Clinician - Per…

    Atlantic Health System (Newton, NJ)
    …process clinical referrals + Obtain insurance authorizations and participate in utilization reviews + Complete timely and accurate documentation utilizing Electronic ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
    Atlantic Health System (02/15/25)
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  • Behavioral Health Clinician - Part…

    Atlantic Health System (Hackettstown, NJ)
    …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well… more
    Atlantic Health System (02/15/25)
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  • Behavioral Health - Utilization

    CVS Health (Frankfort, KY)
    utilization /benefit management program. **Required Qualifications** + Licensed independent behavioral health clinician with Kentucky state licensure (LCSW, ... the standard schedule based on business needs **Preferred Qualifications** + Managed care/ utilization review experience + Ability to multitask, prioritize and… more
    CVS Health (04/05/25)
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  • IVC Response Unit Clinician

    City of Durham (Durham, NC)
    …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability ... with service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management? + No… more
    City of Durham (02/13/25)
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