• Care Review Clinician ( BH…

    Molina Healthcare (Louisville, KY)
    …be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and ... JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services… more
    Molina Healthcare (11/09/25)
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  • Utilization Review Clinician…

    Centene Corporation (Phoenix, AZ)
    …review and/or assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers ... education to members and their families regrading ABA and BH utilization process + Provides feedback to...and healthcare teams to review care services related to Applied Behavior Analysis Services… more
    Centene Corporation (01/06/26)
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  • Utilization Review Clinician…

    Centene Corporation (Harrisburg, PA)
    …review and/or assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers ... education to members and their families regrading ABA and BH utilization process + Provides feedback to...and healthcare teams to review care services related to Applied Behavior Analysis Services… more
    Centene Corporation (01/06/26)
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  • Utilization Review Clinician…

    Centene Corporation (Salem, OR)
    … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... and substance abuse preferred. **Knowledge of mental health and substance abuse utilization review process preferred.** Experience working with providers and… more
    Centene Corporation (01/06/26)
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  • Utilization Management Clinician…

    CVS Health (Harrisburg, PA)
    …Monday through Friday 8:30-5pm . No weekends or holidays. + 1+ years of utilization review / utilization management required. + 3+ years of behavioral health ... or more years BH clinical Experience** + **1 or more years Utilization Management Experience** + **Work at Home role. Can live Anywhere USA** + **Monday-Friday… more
    CVS Health (01/03/26)
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  • Clinical Reviewer, Behavioral Health

    Point32Health (MA)
    …the supervision of the Utilization Management Supervisor, the Behavioral Health ( BH ) Utilization Management (UM) Clinician is responsible for conducting ... covered services, and support department and organizational business goals. The UM BH Clinician escalates urgent issues and concerns that could potentially… more
    Point32Health (12/23/25)
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