• Utilization Review Clinician

    Centene Corporation (Madison, WI)
    … of services + Provides education to providers members and their families regrading BH utilization process + Interacts with BH healthcare providers as ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (05/31/25)
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  • Plan Performance Medical Director- Washington…

    Elevance Health (Waukesha, WI)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Medical Director** is responsible for serving as the lead clinician for a plan. Responsible for the administration of...responsible for working with the CMO, Behavioral Health CMO ( BH -CMO), Pharmaceutical director and the whole health director to… more
    Elevance Health (05/22/25)
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