• Utilization Review / Appeals

    Centene Corporation (Tallahassee, FL)
    …assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
    Centene Corporation (04/03/25)
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  • Clinical Review Clinician

    Centene Corporation (Sacramento, CA)
    …license.** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical ... applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA… more
    Centene Corporation (04/19/25)
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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 (04/03/25)
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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 (04/03/25)
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