• Utilization Review Clinician

    Centene Corporation (Raleigh, NC)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... CAROLINA BEHAVIORAL HEALTH LICENSURE **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors… more
    Centene Corporation (09/25/25)
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  • Utilization Management Clinician

    CVS Health (Salt Lake City, UT)
    …+ Knowledge of mental health and substance abuse disorders + Managed care/ utilization review experience + Crisis intervention skills + Position requires ... opportunities to promote quality effectiveness of healthcare services and benefit utilization + Consults and lends expertise to other internal and external… more
    CVS Health (09/09/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has ... within an intimate home setting. We are seeking a Utilization Review Clinician to join...care to individuals with an eating disorder preferred. + Licensed behavioral health clinician /provider, RD, or RN… more
    Monte Nido (09/06/25)
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  • Utilization Review Clinician

    Centene Corporation (Madison, WI)
    …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... state (BCBA) required. Master's degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or… more
    Centene Corporation (09/26/25)
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  • Senior Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are not ... and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties as...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
    City and County of San Francisco (07/04/25)
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  • Care Review Clinician , Applied…

    Molina Healthcare (Las Vegas, NV)
    **Job Description** **Job Summary** Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for ... quality and cost-effective member care. **Knowledge/Skills/Abilities** * Assesses applied behavioral analysis (ABA) services for members - ensuring optimum outcomes,… more
    Molina Healthcare (08/31/25)
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  • Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …positions can review your application Under general supervision, the 2930 Behavioral Health Clinician performs essential duties that include, but are not ... of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than...Housing and the Department of Public Health can then review your application and contact you directly with details… more
    City and County of San Francisco (07/04/25)
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  • Behavioral Health Crisis PARS…

    HCA Healthcare (Rochester, NH)
    …we encourage you to apply for our Behavioral Health Crisis PARS Clinician opening. We promptly review all applications. Highly qualified candidates will be ... benefits may vary by location._** We are seeking a(an) Behavioral Health Crisis PARS Clinician for our...both clinical and financial aspects of hospitalization. Works with Utilization to obtain insurance verifications.** + **Responds to Code… more
    HCA Healthcare (09/25/25)
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  • Behavioral Health Masters Clinician

    Dartmouth Health (Keene, NH)
    …critical pathways and outcome measurement preferred. Experience in case management, utilization review and discharge planning preferred. Knowledge of JCAHO/NCQA ... Functioning as a member or the Behavioral Health Team, the Master's Level Clinician...is sensitive to patient needs and expectations, promote effective utilization of resources, and support physician practice, while emphasizing… more
    Dartmouth Health (09/29/25)
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  • Behavioral Health Utilization

    CVS Health (Frankfort, KY)
    …with heart, each and every day. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant. **Must reside in the state of Kentucky or ... the standard schedule based on business needs **Preferred Qualifications** + Managed care/ utilization review experience + Foster Care population experience +… more
    CVS Health (09/13/25)
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