• Utilization Review Clinician

    Centene Corporation (New York, NY)
    …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 (06/27/25)
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  • Senior Utilization Review

    Centene Corporation (Trenton, NJ)
    …needs, and discharge planning + Identifies process improvements opportunities related to BH utilization review processes to improve quality of care services to ... and criteria + Performs and manages some complex concurrent review of behavioral health (BH) services to...integrated rounds + Provides education to providers regrading BH utilization process + Performs other duties as assigned +… more
    Centene Corporation (07/10/25)
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  • Utilization Review Clinician

    Centene Corporation (Trenton, NJ)
    …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... state (BCBA) required. Master's degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or… more
    Centene Corporation (07/10/25)
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