• Utilization Review Clinician

    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
    Centene Corporation (11/08/24)
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  • Inpatient Review Clinician (RN)…

    Molina Healthcare (Omaha, NE)
    …with previous experience in BEHAVIORAL HEALTH, Hospital Acute Care, Concurrent Review /_** **_Utilization Review / Utilization Management and knowledge of ... 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 (11/08/24)
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  • Care Review Clinician , PA (RN)…

    Molina Healthcare (NE)
    …seeking a (RN) Registered Nurse with 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 (11/07/24)
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