• Utilization Review Clinician

    Centene Corporation (Springfield, IL)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... time zone with experience in mental health settings and utilization management / review . * Department: PHCO...accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to… more
    Centene Corporation (08/21/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (Naperville, IL)
    …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 ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (07/30/25)
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