• Utilization Management

    CVS Health (Nashville, TN)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (11/01/25)
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  • Utilization Review Clinician

    Centene Corporation (Nashville, TN)
    …position **Registered Nurse (RN) or licensed clinician only. 2-4 years of behavioral health utilization management experience.** **Must have a current ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (10/29/25)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Nashville, TN)
    …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... **LTSS Service Coordinator - Clinician ** **Location:** The location for this position will...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (09/24/25)
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  • Utilization Management Clinical…

    CVS Health (Nashville, TN)
    …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
    CVS Health (10/26/25)
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