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Hiring organization
Centene
Utilization Review Clinician - Behavioral Health
Arkansas
$27.02–$48.55/hr
About $56k–$101k/yr
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RNBehavioral HealthUtilization ReviewSubstance Abuse
Posted Jul 27, 2026 · Last seen active Jul 29, 2026
About this role
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. Performs prior authorization reviews, concurrent review of behavioral health inpatient, analyzes BH member data, provides education to providers members and their families regarding BH utilization process, interacts with BH healthcare providers, and engages with medical directors and leadership to improve quality and efficiency of care.
Requirements
- Graduate of an Accredited School Nursing or Bachelor's degree
- 2-4 years of related experience
- License to practice independently
- Master's degree for behavioral health clinicians
- LCSW, LMHC, LPC, LMFT, LMHP, or RN - State Licensure and/or Compact State Licensure required
- Clinical knowledge of mental health and substance abuse treatment plans preferred
- Knowledge of mental health and substance abuse utilization review process preferred
- Experience working with providers and healthcare teams preferred
Benefits
- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible work schedules (remote, hybrid, field or office)
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