- Centene Corporation (Lincoln, NE)
- …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
- Molina Healthcare (NE)
- …or Licensed Clinical Social Worker (LCSW) previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... 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 (Lincoln, NE)
- …previous experience in BEHAVIORAL HEALTH, Psychiatric Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and ... 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 (NE)
- **CARE REVIEW CLINICIAN INPATIENT REVIEW ...position we are seeking a Registered Nurse with previous Utilization Review / Utilization Management ... 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 (NE)
- …seeking a LVN / LPN or RN Nurse with previous experience in Concurrent Review /_** **_Utilization Review / Utilization Management and knowledge of Interqual ... degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of… more