• Utilization Review Clinician

    Centene Corporation (Honolulu, HI)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... Only. Must have a current state's license **Must have Behavioral Health and Substance Abuse experience. Utilization ...accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to… more
    Centene Corporation (10/30/25)
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  • Utilization Review Clinician

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per ... monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates… more
    Sacramento Behavioral Healthcare Hospital (10/24/25)
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  • Care Review Clinician , Applied…

    Molina Healthcare (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 (11/06/25)
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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 (10/03/25)
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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 (10/03/25)
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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 (11/03/25)
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  • Behavioral Health Clinician

    Atlantic Health System (Morristown, NJ)
    The Behavioral Health Clinician position in our Collaborative Care Program serves as an integrated member of the team at our Internal Medicine Faculty ... relapse prevention, and self-management strategies. 04. Provides brief, evidence-based behavioral interventions such as behavioral activation, cognitive behavior… more
    Atlantic Health System (10/04/25)
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  • Care Review Clinician (BH Licensed)

    Molina Healthcare (Louisville, KY)
    …RN who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and ... DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible...teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work… more
    Molina Healthcare (11/09/25)
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  • Care Review Clinician RN (BH…

    Molina Healthcare (NM)
    …Hours .** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that ... with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively with… more
    Molina Healthcare (10/26/25)
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  • Care Review Clinician - NM resident…

    Molina Healthcare (NM)
    **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team ... degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of… more
    Molina Healthcare (10/30/25)
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