• Utilization Review Clinician - Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate. + Evaluates… more
    Centene Corporation (07/26/25)
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  • Utilization Management Clinical Consultant

    CVS Health (Tallahassee, FL)
    …Marriage and Family Therapist), LAMFT (Licensed Associate Marriage and Family Therapist), LMSW (Licensed Master Social Worker), or LSCW (Licensed Clinical ... evidence-based care, and medical necessity criteria for appropriate utilization of services for child and adolescent members. + Consults and lends expertise… more
    CVS Health (07/31/25)
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  • Utilization Review Clinician - EST/CST hours

    Monte Nido (Miami, FL)
    …values. 8. Performs other tasks, as assigned. Qualifications: + Master's degree in counseling, social work or an LMSW , LCSW, LICSW, LPC, LMHC, or Bachelor's ... Utilization Review **Clinician** is responsible for conducting daily administrative and professional support that enables claims to be correctly processed and… more
    Monte Nido (06/21/25)
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  • Behavioral Health Care Manager l

    Elevance Health (Miami, FL)
    …and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How You ... use of health benefits and community resources. **Minimum Requirements:** Requires MA/MS in social work counseling or a related behavioral health field or a degree… more
    Elevance Health (07/25/25)
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