We have other current jobs related to this field that you can find below

  • Lead Design Engineer

    4 weeks ago

    Anderson, United States Dorman Products Full time

    Job Summary At SuperATV we are working to WOW our customers with innovative, race-tested products and world class customer service. Currently, we have an opportunity for a highly skilled and detail-oriented Lead Design Engineer to add to our team. This critical role will help continue SuperATV's growth and impact in the off-roading industry. Primary...

  • Travel Nurse

    2 months ago

    Anderson, United States Premier Medical Staffing Services, LLC Full time

    Premier Medical Staffing Services, LLC is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Anderson, IN. Shift: 3x12 hr nights Start Date: 07/29/2024 Duration: 13 weeks Pay: $1989 / Week Premier is searching for a Healthcare Ambassador like you! At Premier Medical Staffing Services, we are guided by our core...

  • Raw Materials Procurement Coordinator

    3 days ago

    Anderson, Indiana, United States Sirmax North America Inc Full time

    Position Overview: The Raw Materials Buyer plays a crucial role in ensuring the procurement of quality materials at competitive prices. This position involves establishing relationships with dependable suppliers and negotiating favorable terms.Key Responsibilities:Identify and engage reliable vendors to supply high-quality goods.Negotiate pricing and...

  • Commercial Lines Insurance Account Manager

    2 months ago

    Anderson, United States QUAD, a SolomonEdwards Company Full time

    Title: Commercial Lines Insurance Account ManagerLocation: Anderson, SC (2-3x a week in office)Salary: $75,000k - $80,000k + bonus + benefits Our client, a well-known Top 50 Property & Casualty Insurance Broker, is seeking an experienced Commercial Lines Account Manager to join their growing team. This position is open due to growth and the ideal individual...

  • CNC Machinist

    1 month ago

    Anderson, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionWe have partnered with a manufacturer south of Anderson area who is looking to add multiple CNC Machinists to keep up with growing demand!This is a direct hire opportunity that comes with a full host of benefits including health, dental, vision, 401k, and PTO.We are looking for machinists on 1st, 2nd and weekend shift.Essential...

  • CNC Machinist

    1 month ago

    Anderson, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionWe have partnered with a manufacturer south of Anderson area who is looking to add multiple CNC Machinists to keep up with growing demand!This is a direct hire opportunity that comes with a full host of benefits including health, dental, vision, 401k, and PTO.We are looking for machinists on 1st, 2nd and weekend shift.Essential...

  • Breast Ultrasound Technologist

    4 weeks ago

    Anderson, United States AnMed Full time

    I.SUMMARY OF POSITION PURPOSE The Ultrasound Technologist is responsible for performing breast ultrasound procedures on patients of every age utilizing approved techniques and producing quality scans for physician interpretation. II. SPECIFIC DUTIES AND RESPONSIBILITIESDuties: Reviews medical record for patient history and clinical data for correlation with...

  • CNC Machinist

    4 weeks ago

    Anderson, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionWe have partnered with a manufacturer south of Anderson area who is looking to add multiple CNC Machinists to keep up with growing demand!This is a direct hire opportunity that comes with a full host of benefits including health, dental, vision, 401k, and PTO.We are looking for machinists on 1st, 2nd and weekend shift.Essential...

  • CNC Machinist

    4 weeks ago

    Anderson, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionWe have partnered with a manufacturer south of Anderson area who is looking to add multiple CNC Machinists to keep up with growing demand!This is a direct hire opportunity that comes with a full host of benefits including health, dental, vision, 401k, and PTO.We are looking for machinists on 1st, 2nd and weekend shift.Essential...

  • CNC Machinist

    3 weeks ago

    Anderson, United States Aegis Worldwide Full time

    Job DescriptionJob DescriptionWe have partnered with a manufacturer south of Anderson area who is looking to add multiple CNC Machinists to keep up with growing demand!This is a direct hire opportunity that comes with a full host of benefits including health, dental, vision, 401k, and PTO.We are looking for machinists on 1st, 2nd and weekend shift.Essential...

  • Speech Language Pathologist

    3 months ago

    Anderson, United States BAYADA Full time

    BAYADA Home Health Care is currently seeking an experienced Speech Language Pathologist, SLP, for a per-diem opportunity performing home health visits. This office services adult and geriatric clients in homes throughout Greenville, Anderson, and Spartanburg Counties.Prior home care experience as a Speech Language Pathologist, SLP is a plus, but not...

  • Physical Therapist consistent PRN

    1 month ago

    Anderson, United States Vertis Therapy Full time

    Vertis Therapy is growing and is looking for a detail-oriented, passionate Physical Therapist for our beautiful, new Assisted Living in Anderson, IN. Vertis Therapy is a therapist owned and operated company that focuses on patient centered care. *1:1 Treatments *Flexible Scheduling The Physical Therapist evaluates and treats patients in accordance with...

  • Culinary Preparation Specialist

    3 days ago

    Anderson, Indiana, United States Compass Group, North America Full time

    About Compass Group, North AmericaWe are actively seeking dedicated individuals for a full-time and part-time Culinary Preparation Specialist role.Position Overview:As a Culinary Preparation Specialist, you will be responsible for preparing meals and ensuring exceptional service in accordance with established guidelines.Key Responsibilities:Review daily...

  • Registered Nurse

    2 weeks ago

    Anderson, United States Community Health Network Full time

    Registered Nurse (RN) Case Manager - Community Anderson Job Ref 2405548 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility Community Hospital Anderson 1515 N. Madison Ave. Anderson, IN 46011 United States Shift Day Job Hours 8A - 4:30P with an occasional weekend, on-call rotation, and holiday...

  • Field Operations Supervisor

    3 days ago

    Anderson, United States Actalent Full time

    Job Title: Field Operations SupervisorLocation: Indianapolis, IN Job Description The Indiana Office of Energy Development has announced multiple initiatives worth $182 million that will offer local residents up to $14,000 each in discounts for home energy efficiency upgrades. These programs could benefit thousands including single-family and multi-family...

  • Kitchen Support Cook

    3 days ago

    Anderson, Indiana, United States Compass Group, North America Full time

    About Compass Group, North AmericaWe are currently seeking dedicated individuals for the role of Prep Cook. This position is available for both full-time and part-time schedules, with a preference for candidates who have flexible availability.Position Overview:The Prep Cook is responsible for preparing food items and serving customers in accordance with...

  • Procurement Specialist for Raw Materials

    3 days ago

    Anderson, Indiana, United States Sirmax North America Inc Full time

    Position Overview: The role of the Raw Materials Buyer involves essential responsibilities aimed at ensuring the procurement of high-quality materials at competitive prices.Key Responsibilities:Identify and engage with dependable suppliers to secure quality materials.Negotiate pricing and contractual agreements to optimize costs.Review and analyze technical...

  • Assistant Solicitor

    3 months ago

    Anderson, United States Anderson County, S.C Full time

    Posted 2 Months Ago full-time Assistant Solicitor DATE: September 6, 2023 CLOSING DATE: UNTIL FILLED POSITION: Assistant Solicitor DEPARTMENT: 10th Circuit Solicitor’s Office GENERAL DESCRIPTION: The purpose of this position is to prepare and prosecute criminal cases in any court in which the 10th Circuit Solicitor’s Office represents the State of South...

  • Business Development Representative

    2 months ago

    Anderson, United States Holliday Ingram Real Estate Law Full time

    Job Type Part-time Description Holliday Ingram's mission is to serve South Carolina home buyers and homeowners, real estate agents and lenders with a values-based, client focused approach to real estate law, providing a uniquely stress-free and celebratory closing experience. We are deeply vested in creating lasting relationships and aim to deliver the...

  • Business Development Representative

    2 days ago

    Anderson, United States Holliday Ingram Real Estate Law Full time

    Job Type Part-time Description Holliday Ingram's mission is to serve South Carolina home buyers and homeowners, real estate agents and lenders with a values-based, client focused approach to real estate law, providing a uniquely stress-free and celebratory closing experience. We are deeply vested in creating lasting relationships and aim to deliver the...

Utilization Review Clinician

2 months ago

Anderson, United States Centene Corporation Full time

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.

***Position is REMOTE but candidate must hold Indiana Licensure*** Possible candidate will work weekend/holiday hours for coverage

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.

  • Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate
  • Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria
  • Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning
  • Analyzes BH member data to improve quality and appropriate utilization of services
  • Provides education to providers members and their families regrading BH utilization process
  • Interacts with BH healthcare providers as appropriate to discuss level of care and/or services
  • Engages with medical directors and leadership to improve the quality and efficiency of care
  • Formulates and presents cases in staffing and integrated rounds
  • Performs other duties as assigned
  • Complies with all policies and standards

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
Pay Range: $25.97 - $46.68 per hour

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.