More jobs:
Behavioral Health Care Reviewer & UM Specialist
Job in
Pompano Beach, Broward County, Florida, 33060, USA
Listed on 2026-09-01
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-09-01
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Molina Healthcare in Jacksonville, FL is seeking a Behavioral Health Utilization Review Specialist to support member clinical service reviews, verify medical necessity, and align care with guidelines, policies, and regulations.
The role involves analyzing requests, coordinating with medical directors, and collaborating with ABA/BHT teams to ensure quality, cost-effective care. Strong communication and patient-focused approach are essential.
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