• Utilization Review Clinician

    Centene Corporation (Atlanta, GA)
    …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 (10/10/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Columbus, GA)
    …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 (10/18/25)
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  • Behavioral Health Clinical Quality Audit…

    Elevance Health (Atlanta, GA)
    …years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process ... be required. **Preferred Skills, Capabilities, and Experiences:** + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D.,… more
    Elevance Health (10/13/25)
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