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Remote Clinical & Behavioral Health Utilization Specialist

Remote / Online - Candidates ideally in
Maine, USA
Listing for: Maine Community Health Options
Remote/Work from Home position
Listed on 2026-01-25
Job specializations:
  • Healthcare
    Healthcare Nursing, Healthcare Administration
Job Description & How to Apply Below
A health management organization based in Maine is looking for a Clinical Specialist to support medical management through clinical decision-making and coordination of resources. The role requires an RN or LPN license and emphasizes effective management of complex medical and behavioral health presentations. The position is remote and entails performing medical necessity reviews and ensuring proper referrals to optimize member services.

Candidates should have a background in utilization management and behavioral health.
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