- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager, or a behavioral ... Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape...health clinician ready to make an impact behind the scenes,… more
- Elevance Health (Indianapolis, IN)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... Medical Management Nurse Work schedule: M-F 8:00am to 5:00pm EST . Will work 2-3 Saturdays per year Location: This...by law. The Medical Management Nurse is responsible for review of the most complex or challenging cases that… more
- Monte Nido (Miami, FL)
- …opportunity for people to realize their healthy selves. ** Utilization Review Clinician ** **Monte Nido** **Remote - EST or CST hours** **Monte Nido has ... provide comprehensive care within an intimate home setting. The Utilization Review ** Clinician ** is responsible...are working strongly preferred. + Available to work 8-4:30pm EST Mon-Fri. + A minimum of one year of… more
- Centene Corporation (Tallahassee, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- CVS Health (Raleigh, NC)
- …mental health and substance abuse disorders + Managed care experience + Utilization review experience + Crisis intervention skills **Education** Masters Degree ... will include weekends, holidays, and evening hours._ As a Utilization Management Clinician - Behavioral Health you...through Friday with flexible hours between 10:00am to 8:00pm EST . Utilization Management is a 24/7 operation… more
Locations:
Florida,
North Carolina