• Lead Utilization Review

    Centene Corporation (Austin, TX)
    review BH team + Provides guidance and expert knowledge as appropriate to the behavioral health utilization review team members to ensure the assessment ... criteria + Performs and manages the most complex concurrent review of behavioral health (BH) services to...based on prior experience and recommends improvements related to utilization review processes + Analyzes BH member… more
    Centene Corporation (06/30/24)
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  • Utilization Review Clinician

    Centene Corporation (Austin, TX)
    …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 (07/02/24)
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