- Molina Healthcare (AZ)
- …Business Hours .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying ... that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired… more
- Centene Corporation (Phoenix, AZ)
- …clinicians and ensures compliance with applicable guidelines + Monitors and tracks UM BH resources to ensure adherence to performance, quality , and efficiency ... preferred. Understanding of medical necessity criteria for a broad range of BH services preferred. **License/Certification:** + LCSW- License Clinical Social… more