Utilization Review Clinician – Behavioral Health

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Centene Corporation

WebsiteLinkedInAll Job Openings

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

• Perform medical necessity reviews and authorization determinations to ensure members receive appropriate, high-quality behavioral health services • 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 • 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 regarding 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 and complies with all policies and standards.

🎯 Requirements

• Active RN license or independent clinical licensure (LCSW, LMHC, LMFT, LPC in Indiana) • Behavioral health and/or utilization management experience preferred • Strong knowledge of medical necessity criteria and managed care principles • Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience • 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

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules