• Utilization Management…

    CVS Health (MI)
    …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
    CVS Health (01/16/26)
    - Related Jobs

  • $5,000 Sign-on Bonus - Behavioral Health…

    Fairview Health Services (Highland Park, MI)
    …Integrated care is a result of an engaged primary care team and Behavioral Health Clinician providing patient-centered care addressing mental health and ... determinants of health, and ineffective patterns of health care utilization . At MHealth Fairview, integrated care is a "team...a "team sport." We are currently hiring for the Behavioral Health Clinician (BHC) position, a key… more
    Fairview Health Services (11/06/25)
    - Related Jobs

  • Care Review Clinician (RN)

    Molina Healthcare (MI)
    …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... of KY and or compact licensure The Care Review Clinician Inpatient Review BH will provide prior authorization for...for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience… more
    Molina Healthcare (01/15/26)
    - Related Jobs

  • Payment Integrity Clinician

    Highmark Health (Lansing, MI)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
    Highmark Health (11/14/25)
    - Related Jobs

  • Mental Health Counselor

    Area Agency On Aging 1-b (Farmington Hills, MI)
    …transitions, trauma, anxiety, and other specialized concerns. As a fully licensed clinician in Michigan, the Counselor will work in a value-driven and collaborative ... both individual and group therapy sessions, they will implement behavior management techniques designed to enhance emotional regulation and coping skills. The… more
    Area Agency On Aging 1-b (11/14/25)
    - Related Jobs