Utilization Review Nurse Job at IntelliResume, New York, NY

  • IntelliResume
  • New York, NY

Job Description

Centene seeks a remote Utilization Review Clinician - ABA to assess care and health status for ABA services in Georgia. The role emphasizes medical appropriateness and prior authorization review to ensure quality utilization. You will contribute to care decisions, educate members and families, and collaborate with behavioral health providers while complying with policies and standards. RN/BCBA licensure and nursing or bachelor credentials are required or preferred. #J-18808-Ljbffr

Job Tags

Similar Jobs

KEDPlasma USA

Medical Screener Job at KEDPlasma USA

 ...our team at KEDPLASMA and be part of the critical first step in plasma donation ensuring donor safety and eligibility. As a Medical Screener, youll combine customer service with healthcare procedures in a supportive, community-focused environment where every interaction... 

Whirlpool

Social Media Manager Job at Whirlpool

 ...Corporation (NYSE: WHR) is a leading home appliance company, in...  ...seeking qualified candidates for a Social Manager, Brand Communications. This...  ....As part of the Social Media team at Whirlpool, this role...  ...Media teams to ensure that all work is grounded in community understanding... 

EagleView

Flight Operations Manager Job at EagleView

 ...government, construction, solar and insurance industries to make timely, informed and better decisions. Overview The Flight Operations Manager will focus on fixed-wing imagery project assignments and capture execution via our internal and external flight suppliers... 

STI

Communication Specialist Job at STI

 ...Job Title: Communication Specialist Location: Nashville, TN/Hybrid Duration: 24+ months Work Type- Hybrid Position will require...  .... Job Description: The Tennessee Department of Health is currently seeking a Communication Specialist for the... 

PepsiCo

Quality Control Technician - 2nd Shift Job at PepsiCo

 ...and territories, and united by a shared set of values and goals. You know our name through our amazing portfolio, including Pepsi, Frito-Lay, Quaker and Gatorade. We perform with a purpose. We dream globally and act locally, constantly innovating to sustain our planet...