• 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 (10/21/25)
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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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  • Behavioral Health Clinical Quality Audit…

    Elevance Health (Nashville, TN)
    …or related field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed ... be required. **Preferred Skills, Capabilities, and Experiences:** + Independently licensed behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D.,… more
    Elevance Health (10/13/25)
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