Clinical Utilization Specialist

1 week ago


Tallahassee, United States Centene Corporation Full time
Job Summary

The ideal candidate will have strong clinical knowledge and experience in behavioral health, with a focus on ABA services. You will be responsible for conducting thorough reviews of treatment plans, assessing their medical appropriateness, and identifying opportunities for improvement.

In this role, you will work closely with healthcare providers and teams to ensure that members receive high-quality, effective care. Your expertise in ABA services and behavioral health utilization review will be invaluable in helping us improve patient outcomes.



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