• Utilization Review Clinician

    Centene Corporation (Nashville, TN)
    …**Registered Nurse (RN) or licensed clinician only. 2-4 years of behavioral health utilization management experience.** **Must have a current state's ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (10/29/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Bowling Green, KY)
    …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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