Behavioral Health Utilization Review Clinician at Centene

This role is designed for experienced clinical professionals—specifically Registered Nurses or Master’s-level therapists (LCSW, LPC, LMHC, etc.)—with a background in mental health and substance abuse treatment. It is a mid-level position ideal for someone looking to transition from direct clinical practice into a specialized administrative role focused on medical necessity, quality of care, and utilization management. The primary draw of this position is the **fully remote** work arrangement and the stability of working for a large, national organization. While the exact salary isn't listed, the role comes with a robust benefits package including 401k matching, a stock purchase plan, and tuition reimbursement. It offers a structured environment where you can influence patient outcomes at scale by ensuring treatments align with clinical guidelines. **You might be a good fit if you...** * Hold an active, independent clinical license (RN, LCSW, LPC, or LMFT). * Have 2–4 years of experience in behavioral health or substance abuse settings. * Are comfortable navigating electronic health records and analyzing member data to determine appropriate levels of care. * Enjoy collaborative environments where you’ll present cases in integrated rounds and work closely with Medical Directors.