• Clinical Review Clinician

    Centene Corporation (Oklahoma City, OK)
    …of all appeals requests + Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry ... shifts Must have RN Compact license **Position Purpose:** Performs clinical reviews needed to resolve and process appeals...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
    Centene Corporation (09/10/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote** **Monte Nido has been delivering ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...discharge, retrospective, facilitating peer to peer reviews, and written appeals . + Engage in clinical rounds as… more
    Monte Nido (09/06/25)
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  • Mental Health Clinician III (Staffing…

    State of Colorado (Denver, CO)
    …collaboration + Diversity and inclusion + Strong family and community partnerships The Clinical Mental Health Clinician III works in the 24-hour state ... need to change treatment assignment (under supervision of licensed clinician ) Individual Intervention: The Clinical MHC III...appeal with the State Personnel Board or request a review by the State Personnel Director. An appeal or… more
    State of Colorado (08/28/25)
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  • CDOC Social Worker/Counselor III Mental Health…

    State of Colorado (Sterling, CO)
    …Social Worker/Counselor III Mental Health Clinician /Gender Affirming Care - (STERLING) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054592) ... Apply  CDOC Social Worker/Counselor III Mental Health Clinician /Gender Affirming Care - (STERLING) Salary $6,885.00 -...for inmates experiencing acute mental health crisis. * Renders clinical direction to non- clinical staff in mental… more
    State of Colorado (09/06/25)
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  • Senior Behavioral Health Clinician

    City and County of San Francisco (San Francisco, CA)
    …and + May perform Quality Improvement activities such as chart audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties ... Francisco continuously accepts applications for all permanent Senior Behavioral Health Clinician 2932 positions. Rather than publishing separate job ads for every… more
    City and County of San Francisco (07/04/25)
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  • Mental Health Clinician II - Colorado…

    State of Colorado (Denver, CO)
    Mental Health Clinician II - Colorado Mental Health Hospital in Fort Logan (South Denver) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5051770) Apply  Mental Health Clinician II - Colorado Mental Health Hospital in Fort Logan (South… more
    State of Colorado (08/22/25)
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  • Mental Health Clinician I - Colorado Mental…

    State of Colorado (Denver, CO)
    Mental Health Clinician I - Colorado Mental Health Hospital in Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4984928) Apply  ... Mental Health Clinician I - Colorado Mental Health Hospital in Fort...addresses safety violations in patient care areas. Using therapeutic clinical skills, anticipates and initiates intervention at an appropriate… more
    State of Colorado (06/26/25)
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  • Behavioral Health Clinician - Citywide

    City and County of San Francisco (San Francisco, CA)
    …of San Francisco continuously accepts applications for all permanent Behavioral Health Clinician 2930 positions. Rather than publishing separate job ads for every ... Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions.… more
    City and County of San Francisco (07/04/25)
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  • Utilization Review Medical Director

    Commonwealth Care Alliance (Boston, MA)
    …utilization review , ideally experience with public programming, and excellent clinical judgment. They will work well both independently and in conjunction with ... & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review determinations and… more
    Commonwealth Care Alliance (09/05/25)
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  • Profee Clinical Data Quality Admin (CDQA)…

    Virtua Health (Mount Laurel, NJ)
    …Practice Managers to provide efficiencies in operational workflows related to clinician coding. Review and Resolution of Interdepartmental Coding-related Issues: ... Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical , coding and abstracting systems, in conjunction with UHDDS and other rules… more
    Virtua Health (07/28/25)
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