• Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Must have a New York State ... clinical license.** **Hours: 8:30am-5pm EST Monday - Friday.** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with… more
    Centene Corporation (08/21/25)
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  • Clinician , Bureau of Public Health Clinics

    City of New York (New York, NY)
    …THE SALARY -is 95.51 per/Hour The Division of Disease Control's mission is to safeguard the health of New Yorkers through identification, surveillance, treatment, ... control, and prevention of infectious diseases, which is achieved through varied and interrelated endeavors of its seven Bureaus. The Bureau of Public Health Clinics (BPHC) mission is to promote a healthy community by providing New Yorkers with the resources… more
    City of New York (08/21/25)
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  • Care Review Clinician , Inpatient Review…

    Molina Healthcare (Rochester, NY)
    …**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… more
    Molina Healthcare (08/20/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Syracuse, NY)
    …ARIZONA RESIDENCY REQUIRED** This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN/and or a compact licensure. The ideal ... candidate will have experience with UM and prior authorization, within both Physical Health and Behavioral Health. Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Remote… more
    Molina Healthcare (08/16/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Buffalo, NY)
    …**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… more
    Molina Healthcare (08/08/25)
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  • Mental Health Clinician - Pediatrics…

    Albany Medical Center (Albany, NY)
    …Behavioral Health provider will be a member of an interdisciplinary team providing specialty medical care and psychosocial services to children, adolescents, young ... adults, and their families. Provide comprehensive psychological and mental health assessments and develop mental health treatment plans. Provide psychotherapy to a caseload of children and their families who may be struggling with anxiety, depression or other… more
    Albany Medical Center (08/08/25)
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  • Licensed Mental Health Clinician

    Helio Health Inc. (Utica, NY)
    …+ Maintain a case load. + Perform essential counseling/therapist responsibilities including screening, intake and orientation, evaluation and intervention, treatment ... Overview At Helio Health, we're dedicated to transforming lives by treating and promoting recovery from substance use, mental health disorders, and other behavioral health issues. We're seeking a compassionate and skilled Licensed Mental Health Clinicianto… more
    Helio Health Inc. (08/08/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (New York, NY)
    …Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Must be licensed in the state ... of New York.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate. +… more
    Centene Corporation (08/02/25)
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  • Clinician IV

    Spectrum Health and Human Services (West Seneca, NY)
    …+ Knowledge and demonstration of agency core values in day to day activities + Meets productivity standard of 100% annually + Meets documentation timeliness standards ... + Demonstrates ability to effectively use technology and appropriate use of support + Follows Agency policies and procedures + Completes yearly update trainings + Handles intake calls and performs initial assessments commensurate with regulatory requirements +… more
    Spectrum Health and Human Services (07/22/25)
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  • Clinician - Bilingual Spanish

    Abbott House (Irvington, NY)
    …Responsible for the preparation of goal-oriented diagnostic assessments, group counseling, staff training, and program enrichment. Will provide clinical guidance to ... the Case Managers and Youth Specialist staff and participate and provide expert/professional support in treatment team meetings concerning mental health issues and behavior management. They will also provide clinical guidance and professional support in… more
    Abbott House (07/07/25)
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