• Utilization Management

    CVS Health (Jackson, MS)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (10/21/25)
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  • Care Review Clinician , Applied…

    Molina Healthcare (Jackson, MS)
    …and/or procedures. * Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services ... Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Utilization management experience. * Health plan/managed care… more
    Molina Healthcare (08/08/25)
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  • Care Review Clinician , Prior Authorization…

    Molina Healthcare (MS)
    …3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active, ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (09/06/25)
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  • Utilization Management Clinical…

    CVS Health (Jackson, MS)
    …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
    CVS Health (10/26/25)
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