• 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 (01/10/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Austin, TX)
    …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 (12/20/24)
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  • Clinical Case Manager Behavioral Health

    CVS Health (Austin, TX)
    …* Must be able to multitask **Required Qualifications** + Masters prepared behavioral health clinician with unrestricted Independent Behavioral Health ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
    CVS Health (01/08/25)
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