Clinician jobs in United States

Explore 127 matching jobs.

Centene Corporation

Utilization Review Clinician – Behavioral Health

Centene Corporation

Posted: 10/19/2026
Paragon Behavioral Health Connections

Mental Health and Developmental Clinician

Paragon Behavioral Health Connections

Posted: 10/19/2026
Paragon Behavioral Health Connections

Crisis Stabilization Clinician

Paragon Behavioral Health Connections

Posted: 10/19/2026
Paragon Behavioral Health Connections

Child and Family Clinician

Paragon Behavioral Health Connections

Posted: 10/19/2026
Paragon Behavioral Health Connections

Crisis Stabilization Clinician

Paragon Behavioral Health Connections

Posted: 10/19/2026
Paragon Behavioral Health Connections

Crisis Stabilization Clinician

Paragon Behavioral Health Connections

Posted: 10/19/2026
Neko Health

Clinician Education Lead

Neko Health

Posted: 10/19/2026
Jefferson

Advanced Practice Clinician – Hospital Medicine Nocturnist

Jefferson

Posted: 10/15/2026
Advocate Aurora Health

Clinician Service Coordinator

Advocate Aurora Health

Posted: 10/15/2026
Atlantic Health Strategies™

Licensed Clinician

Atlantic Health Strategies™

Posted: 10/15/2026
Hanger, Inc.

Prosthetist and Orthotist Clinician, CPO, CO, CP, Board Eligible

Hanger, Inc.

Posted: 10/14/2026
Centene Corporation

Utilization Review Clinician – Behavioral Health

Centene Corporation

Posted: 10/14/2026
Essity

Orthopedic Clinician

Essity

Posted: 10/14/2026
UMass Memorial Health

Behavioral Health Clinician – Emergency Department

UMass Memorial Health

Posted: 10/14/2026
The Key Program, Inc

Clinician

The Key Program, Inc

Posted: 10/14/2026
Ottobock

Board Eligible Clinician

Ottobock

Posted: 10/13/2026
Ottobock

Clinician

Ottobock

Posted: 10/13/2026
Capital Blue Cross

Utilization Management Clinician – CCR

Capital Blue Cross

Posted: 10/13/2026
North Shore Community Health

Behavioral Health Clinician

North Shore Community Health

Posted: 10/13/2026
AdaptHealth

RT Ventilator Clinician

AdaptHealth

Posted: 10/13/2026
Centene Corporation

Utilization Review Clinician – Behavioral Health

Centene Corporation
Posted 10/19/2026full-timeRemote • United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite
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Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in clinical reviews and assessments related to mental health and substance abuse, with a strong focus on prior authorization and concurrent reviews. Possesses the ability to analyze member data to enhance service utilization and quality of care.

Highest-signal resume keywords
Clinical Review ExpertisePrior Authorization ReviewBehavioral Health AssessmentLicensed Clinical Social Worker (LCSW)Mental Health Utilization Review

About the role

Key responsibilities & impact
  • Perform clinical reviews and assess care related to mental health and substance abuse
  • Monitor and determine whether levels of care and services are medically appropriate
  • Evaluate member treatment before, during, and after services
  • Perform prior authorization reviews in accordance with regulatory guidelines and criteria
  • Perform concurrent reviews of behavioral health inpatient care, including treatment needs and discharge planning
  • Analyze behavioral health member data to improve quality and appropriate service utilization
  • Educate providers, members, and families about the behavioral health utilization process
  • Discuss levels of care and services with behavioral health healthcare providers
  • Engage medical directors and leadership to improve care quality and efficiency
  • Formulate and present cases in staffing and integrated rounds
  • Comply with all policies and standards
  • Perform other duties as assigned

Requirements

What you’ll need
  • Graduate of an Accredited School Nursing or Bachelor's degree
  • 2–4 years of related experience
  • License to practice independently and/or state-required licensure
  • Master’s degree for behavioral health clinicians required
  • LCSW (Licensed Clinical Social Worker), LMHC (Licensed Mental Health Counselor), LPC (Licensed Professional Counselor), LMFT (Licensed Marital and Family Therapist), LMHP (Licensed Mental Health Professional), or RN (Registered Nurse) state and/or compact state licensure required
  • For Fidelis Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN 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
  • Must be available to work second shift, 2pm–10pm EST
  • Open to all time zones

Benefits

Comp & perks
  • Competitive pay
  • Health insurance
  • 401K plan
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
  • Additional forms of incentives may be included in total compensation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Clinical ReviewBehavioral Health AssessmentPrior AuthorizationConcurrent ReviewData AnalysisTreatment Plan EvaluationDischarge PlanningUtilization Review ProcessCare Quality ImprovementRegulatory Compliance
Soft Skills
Provider EducationCommunicationCollaborationEngagement with LeadershipCase Presentation
Certifications & Qualifications
Licensed Clinical Social Worker (LCSW)Licensed Mental Health Counselor (LMHC)Licensed Professional Counselor (LPC)Licensed Marital and Family Therapist (LMFT)Licensed Mental Health Professional (LMHP)Registered Nurse (RN)
Industry Keywords
Mental HealthSubstance AbuseBehavioral HealthHealthcare ServicesUtilization ReviewCare ServicesTreatment PlansQuality ImprovementRegulatory GuidelinesHealthcare Teams