Talent.com
Oklahoma Licensed Utilization Review Clinician
Oklahoma Licensed Utilization Review ClinicianVirtualVocations • Appleton, Wisconsin, United States
Oklahoma Licensed Utilization Review Clinician

Oklahoma Licensed Utilization Review Clinician

VirtualVocations • Appleton, Wisconsin, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

Evaluate member treatment for mental health and substance abuse to ensure medical appropriateness

Perform prior authorization reviews and concurrent reviews related to behavioral health inpatient care

Provide education to providers and families regarding the behavioral health utilization process

Required Qualifications, Training, and Education

Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience

Master's degree for behavioral health clinicians required

License to practice independently or state-required licensure

LCSW, LMHC, LPC, LMFT, LMHP, or RN licensure required

Preferred experience in mental health and substance abuse utilization review processes

Create a job alert for this search

Utilization Review • Appleton, Wisconsin, United States

Related jobs
CRNA - Anesthesiology job available in Oshkosh, Wisconsin

CRNA - Anesthesiology job available in Oshkosh, Wisconsin

TeamHealth • Oshkosh, WI, US
Full-time
TeamHealth is excited to offer a rewarding opportunity for a skilled and compassionate CRNA to join our well-established anesthesia care team at Ascension - Mercy Hospital in Oshkosh, Wisconsin.Thi...Show more
Last updated: 30+ days ago • Promoted
Director of Dental Operations

Director of Dental Operations

Network Health • Menasha, WI, United States
Full-time
Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities.It drives the decisions we make, including the people we choose to join our growing team.Network...Show more
Last updated: 18 days ago • Promoted
Local Contract Nurse RN - Dialysis

Local Contract Nurse RN - Dialysis

HeartCentrix Solutions • Oshkosh, WI, US
Full-time
HeartCentrix Solutions is seeking a local contract nurse RN Dialysis for a local contract nursing job in Oshkosh, Wisconsin. Job Description & Requirements.EXPERIENCE AND REQUIRED SKILLS : .Nephro...Show more
Last updated: 20 days ago • Promoted
Travel Nurse RN - OR - Operating Room - $1,885 per week

Travel Nurse RN - OR - Operating Room - $1,885 per week

Supplemental Health Care • De Pere, WI, US
Full-time +1
Supplemental Health Care is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Green Bay, Wisconsin. Job Description & Requirements.Current Wisconsin Nursing License.Ameri...Show more
Last updated: 16 hours ago • Promoted • New!
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Planet Healthcare • Ashwaubenon, WI, US
Full-time
Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Ashwaubenon, Wisconsin.Job Description & Requirements. Must have at least 12 months of home health experien...Show more
Last updated: 6 days ago • Promoted
Travel Inpatient Hemodialysis RN - $2,218 per week

Travel Inpatient Hemodialysis RN - $2,218 per week

PRIDE Health • Preble, WI, US
Full-time
PRIDE Health is seeking a travel nurse RN Dialysis for a travel nursing job in Green Bay, Wisconsin.Job Description & Requirements Specialty : Dialysis Discipline : RN Start Date : 11 / 24 / 2025 Duration...Show more
Last updated: 3 days ago • Promoted
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Continuum Medical Staffing • Ashwaubenon, WI, US
Permanent +1
Continuum Medical Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Ashwaubenon, Wisconsin.Job Description & Requirements. Continuum Medical Staffing Job ID #27997.Pa...Show more
Last updated: 8 days ago • Promoted
Travel Outpatient Physical Therapist

Travel Outpatient Physical Therapist

TRS Healthcare • New London, WI, US
Full-time
TRS Healthcare is seeking a travel Clinic Physical Therapist for a travel job in New London, Wisconsin.Job Description & Requirements. TRS Healthcare Job ID #1373065.Pay package is based on 8 ho...Show more
Last updated: 30+ days ago • Promoted
Care Review Clinician (RN)

Care Review Clinician (RN)

Molina Healthcare • GREEN BAY, US
Permanent
Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...Show more
Last updated: 13 hours ago • Promoted • New!
Care Review Clinician, PA (RN)

Care Review Clinician, PA (RN)

Molina Healthcare Careers • Green Bay, WI, United States
Full-time
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of ca...Show more
Last updated: 10 hours ago • Promoted • New!
Patient Access Registrar

Patient Access Registrar

ThedaCare • Menasha, WI, US
Full-time
The Patient Access Registrar performs admitting duties for patients admitted for services at ThedaCare.Meets the mission and goals of ThedaCare and regulatory compliance requirements.Works within t...Show more
Last updated: 1 day ago • Promoted
Travel Nurse RN - Home Health

Travel Nurse RN - Home Health

Healthcare Support • Ashwaubenon, WI, US
Permanent
Healthcare Support is seeking a travel nurse RN Home Health for a travel nursing job in Ashwaubenon, Wisconsin.Job Description & Requirements. Healthcare Support Job ID #475877.Pay package is ba...Show more
Last updated: 10 days ago • Promoted
Patient Access Registrar Team Leader

Patient Access Registrar Team Leader

ThedaCare • Appleton, WI, US
Full-time
Patient Access Registrar Team Leader.The Patient Access Registrar Team Leader performs admitting duties for patients admitted for services at ThedaCare. Meets the mission and goals of ThedaCare and ...Show more
Last updated: 8 days ago • Promoted
Care Review Clinician, Inpatient Review (RN)

Care Review Clinician, Inpatient Review (RN)

Molina Healthcare Careers • Green Bay, WI, United States
Full-time
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...Show more
Last updated: 15 hours ago • Promoted • New!
Local Contract Nurse RN - Dialysis - $50-60 per hour

Local Contract Nurse RN - Dialysis - $50-60 per hour

HeartCentrix Solutions • Oshkosh, WI, United States
Full-time
HeartCentrix Solutions is seeking a local contract nurse RN Dialysis for a local contract nursing job in Oshkosh, Wisconsin. Job Description & Requirements.EXPERIENCE AND REQUIRED SKILLS : .Nephrology...Show more
Last updated: 14 days ago • Promoted
Care Review Clinician (RN) (Must reside in WI)

Care Review Clinician (RN) (Must reside in WI)

Molina Healthcare Careers • Green Bay, WI, United States
Full-time
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...Show more
Last updated: 15 hours ago • Promoted • New!
Care Review Clinician (RN)

Care Review Clinician (RN)

Molina Healthcare Careers • Green Bay, WI, United States
Full-time
Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...Show more
Last updated: 15 hours ago • Promoted • New!
RN - Oncology Nights

RN - Oncology Nights

ThedaCare • Appleton, WI, US
Full-time
Why ThedaCare?\n\nLiving A Life Inspired!\n\nOur new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by b...Show more
Last updated: 16 hours ago • Promoted • New!
Travel Inpatient Hemodialysis RN - $2,218 per week

Travel Inpatient Hemodialysis RN - $2,218 per week

Pride Health • De Pere, WI, US
Full-time
PRIDE Health is seeking a travel nurse RN Dialysis for a travel nursing job in Green Bay, Wisconsin.Job Description & Requirements. Pay package is based on 12 hour shifts and 36.Posted job title...Show more
Last updated: 16 hours ago • Promoted • New!
RN Clinical Manager - Surgery Center

RN Clinical Manager - Surgery Center

ThedaCare • New London, WI, US
Full-time
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care.We are inspired to reinvent health care by becoming a proactive partner in health, enrich...Show more
Last updated: 30+ days ago • Promoted