• Utilization Management Clinician…

    CVS Health (Harrisburg, PA)
    …clinically appropriate treatment, evidence based care an clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus. - ... One of the following is required: Unencumbered Master's Level Behavioral Health clinical license in the state...required for either BH or RN -1+ years of utilization review / utilization management required (ie… more
    CVS Health (12/11/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Harrisburg, PA)
    …degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans ... TIME ZONE/CENTRAL TIME ZONE.** **IDEAL APPLICANTS WILL HAVE CHILDREN/ADOLECENT BEHAVIORAL HEALTH EXPERIENCE AND HOLD A PENNSYLVANIA...required. Knowledge of ABA services and BH utilization review process required. Experience working with… more
    Centene Corporation (12/05/25)
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  • Care Management Specialist - Behavioral

    WellSpan Health (Chambersburg, PA)
    …**Qualifications** **Minimum Education:** + Bachelors Degree In Social Work and Inpatient Behavioral Health may have Bachelor's degree in Psychology and ... services. Required + Masters Degree In social work (or Psychology for inpatient behavioral health ) Preferred **Work Experience:** + 2 years Relevant experience.… more
    WellSpan Health (10/31/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Harrisburg, PA)
    …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations… more
    CVS Health (12/03/25)
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  • Care Manager Behavioral Health

    Highmark Health (Harrisburg, PA)
    …This job implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria ... High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's degree… more
    Highmark Health (12/03/25)
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  • Utilization Management Nurse

    CenterWell (Harrisburg, PA)
    …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
    CenterWell (11/22/25)
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  • Case Manager, Behavioral Health (Per…

    St. Luke's University Health Network (Allentown, PA)
    …Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for De-Escalation Training within 90 ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and… more
    St. Luke's University Health Network (12/01/25)
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  • Part-time/PRN Behavioral Health

    BriteLife Recovery (Hanover, PA)
    "PRN" BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
    BriteLife Recovery (11/23/25)
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  • Driver/ Behavioral Health Technician…

    BriteLife Recovery (Hanover, PA)
    BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
    BriteLife Recovery (11/24/25)
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  • Behavioral Health Therapist…

    Highmark Health (Pittsburgh, PA)
    …in planning/marketing strategy to ensure referral sources. + Participates in peer utilization and/or review and assists in coordination of related quality ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (12/10/25)
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