- Centene Corporation (Carson City, NV)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Elevance Health (Las Vegas, NV)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Medical Director** is responsible for serving as the lead clinician for a plan. Responsible for the administration of...Will also be responsible for working with the CMO, Behavioral Health CMO (BH-CMO), Pharmaceutical director and the whole… more
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