• Utilization Management Clinician

    CVS Health (Atlanta, GA)
    behavioral health background. **Preferred Qualifications** + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (11/01/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Atlanta, GA)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
    Molina Healthcare (10/26/25)
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  • Associate Operations Director

    CenterWell (Marietta, GA)
    …planning, determining services, providers, and expected outcomes collaboratively. *Focus on utilization management and review provider schedules to meet patient ... Google reviews. *Ensure high levels of patient satisfaction by addressing clinician performance issues and fostering a patient-centric environment and culture of… more
    CenterWell (10/28/25)
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