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Care Review Clinician; BH Licensed

Job in Dudley, Worcester County, Massachusetts, 01571, USA
Listing for: Nichols College
Full Time position
Listed on 2026-01-31
Job specializations:
  • Healthcare
    Healthcare Nursing, Mental Health
Job Description & How to Apply Below
Position: Care Review Clinician (BH Licensed)

and the job listing Expires on February 1, 2026

Care Review Clinician (BH Licensed)

Passport Health Plan by Molina Healthcare
Louisville, Kentucky

Job 2034640

RESPONSIBILITIES

For this position we are seeking a Licensed Masters Level social worker, counselor, therapist and/or RN with a current active license for state of KY or RN who must be licensed in KY or have a compact RN license.

The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the OH Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility). Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role.

Prefer candidates that have experience doing prior authorizations for outpatient services preferrable within Behavioral Health Population.

  • WORK SCHEDULE:

    Monday thru Friday 8:00 AM to 5:00 PM EST – Training Schedule
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