• Utilization Review Clinician…

    Centene Corporation (New York, NY)
    …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
    Centene Corporation (11/08/25)
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  • Utilization Management Clinician…

    CVS Health (Albany, NY)
    … behavioral health background. **Preferred Qualifications** + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (11/01/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Rochester, NY)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... 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… more
    Molina Healthcare (10/26/25)
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  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    …Case Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
    Garnet Health (08/26/25)
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  • Psychologist 1/2

    New York State Civil Service (Lowville, NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... under the supervision of a licensed psychologist or other appropriate licensed clinician ; * Develop and write behavioral /treatment plans and complete functional… more
    New York State Civil Service (10/31/25)
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  • Clinical Coordinator - Psych ACT Team

    University of Rochester (Brighton, NY)
    …billing and data reporting. Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way ... who interact with the most challenging and vulnerable patient population in Behavioral Health clinical services. The Clinical Coordinator is also an integral member… more
    University of Rochester (11/06/25)
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