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This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific.
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A California active independent behavioral health licensure is required. (LCSW, LMFT, LPCC, RN)
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CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and subs...

Looking for candidates with:
- Bachelors level clinician (RN) or Masters level clinician (LCSW, LPC, LMHC, MFT) or a provisional license.
- 3+ years of clinical experience
- Will substitute 5 or more years of clinical experience along with an Associates degree and RN licensure in place of the Bachelors degree and RN licensure.
- Experience working with total quality improvement or a behavio...

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.
100% Remote Work flexibility to work remote from home in Texas
Requirement: Must have an active and current unrestric...

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This role is a Triage call center role with shift being M-F 8:30-5pm PST.
*
A California active independent behavioral health licensure is required. (LMSW, LCSW, LSW, LPC or RN)
*
CEAP requirement does not apply to this role.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance ab...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Seeking Master's level clinician (RN/BH) in the Cambria County area of PA.
This is a remote position in PA and candidates need to reside in/near the Cambria Cty area.
Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for purposes ...

Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs.
* Assists clinical management in the development and on-going management of designated staff.
* Performs care management review activities consistent with Mag...

Job Description
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, 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 staff work to ensure that patients progress toward desired outcomes with quality c...

This is a remote position supporting Louisiana. Candidates must be licensed and reside in Louisiana.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge plannin...

This is a remote/work from position, candidates must be licensed and reside in Hawaii.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coo...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Job Description
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, 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 staff work to ensure that patients progress toward desired outcomes with quality c...

Working at Northern Virginia Family Service (NVFS) means doing work that matters every day because of the difference you will make in the lives of children and families in Northern Virginia. NVFS’ breadth, depth and scope of services offer the resources and support to ensure that everyone in need, at every stage of life, maximizes their potential and fully contributes to a thriving community. ...

• Monitors residential level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
• Provides telephone triage, crisis intervention and emergency authorizations as assigned.
• Performs concurrent reviews for residential care and other levels of care as allowed by scope of practice and experience.
• In conjunction with providers...

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.
STATEWIDE - TX
Seeking Licensed Clinical Social Worker (LCSW) or License Professional Counselor (LPC) to provide tele...

**This position is 100% Remote.
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experien...

Minimum Qualifications:
Master’s degree in Counseling, Psychology, or Social Work. Current licensure as a Professional Counselor, Psychological Associate, or Clinical Social Worker with five (5) years experience as a LPA, LPC or LCSW.
Preferred Qualifications:
Bilingual (Spanish speaking preferred but not required)
Job Summary:
This position is responsible for providing mental hea...

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development ...

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development ...