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Utilization Review Clinician

79% Flex
EXTRA HOLIDAYS - EXTRA PARENTAL LEAVE
Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree or higher in Nursing, 2-4 years of related experience, State licensure as required, Master's degree for behavioral health.

Key responsabilities:

  • Perform clinical review for mental health
  • Assess care related to substance abuse
  • Determine appropriateness of care services
  • Collaborate with providers and healthcare teams
Centene Corporation logo
Centene Corporation XLarge https://www.centene.com/
10001 Employees
See more Centene Corporation offers

Job description

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Your missions

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 

Candidate must reside in the state of Arizona

Position Purpose:
Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.

Education/Experience:
Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience. License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required. Master’s degree for behavioral health clinicians required.

Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.

Knowledge of mental health and substance abuse utilization review process preferred.

Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.


License/Certification:
LCSW- License Clinical Social Worker   required or
LMHC-Licensed Mental Health Counselor   required or
LPC-Licensed Professional Counselor   required or
Licensed Marital and Family Therapist (LMFT)   required or
Licensed Mental Health Professional (LMHP)   required or
RN  - Registered Nurse - State Licensure and/or Compact State Licensure   required

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.


Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Soft Skills

  • Excellent Communication

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