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Behavioral Health Utilization Review Clinician
Job in
Hialeah, Miami-Dade County, Florida, 33002, USA
Listed on 2026-08-02
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-08-02
Job specializations:
-
Healthcare
Mental Health
Job Description & How to Apply Below
Molina Healthcare is seeking a Behavioral Health Clinical Reviewer to verify medical necessity and alignment with guidelines across the care continuum. You will assess services, analyze requests, determine eligibility and potential length of stay, and ensure timely prior authorizations.
Collaborating with multidisciplinary teams, you will support ABA/BHT services and communicate effectively with members and providers while upholding UM policies and regulatory standards.
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