• Utilization Management

    CVS Health (Jefferson City, MO)
    …Qualifications** + Direct clinical experience in a hospital setting or prior Utilization Management experience. **Education** + If RN, Bachelor's degree in ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
    CVS Health (01/07/25)
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  • Utilization Review Clinician

    Centene Corporation (Jefferson City, MO)
    …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment… more
    Centene Corporation (01/10/25)
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