Centene Corporation
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Utilization Review Clinician – ABA
🔥 0 minutes ago
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Centene Corporation
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
📋 Description
• conduct prior authorization reviews for ABA treatment services • evaluate clinical documentation for medical necessity • monitor clinical effectiveness and efficiency of member's care according to ABA guidelines • analyze BH member data to improve service utilization • interact with BH healthcare providers to discuss care and services
🎯 Requirements
• Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience • 2+ years providing ABA services as a BCBA • License to practice independently, and/or have obtained the state required licensure (BCBA) • Behavioral health clinical knowledge and ability to review ABA Treatment Plans • Knowledge of ABA services and BH utilization review process
🏖️ Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work
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