Title: Utilization Review Clinician - Behavioral Health Location: Remote-KY Work Type: Remote, Full Time Job ID: 1636331 Job Description: You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This is a remote position. Weekend position with flexible shift options. Applicants may work four 10-hour shifts or five 8-hour shifts per week. Availability to work Saturdays and Sundays is required Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate. - Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate - Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria - Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning - Analyzes BH member data to improve quality and appropriate utilization of services - Provides education to providers members and their families regrading BH utilization process - Interacts with BH healthcare providers as appropriate to discuss level of care and/or services - Engages with medical directors and leadership to improve the quality and efficiency of care - Formulates and presents cases in staffing and integrated rounds - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience. License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required. Master’s degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred. License/Certification: - LCSW- License Clinical Social Worker required or - LMHC-Licensed Mental Health Counselor required or - LPC-Licensed Professional Counselor required or - Licensed Marital and Family Therapist (LMFT) required or - Licensed Mental Health Professional (LMHP) required or - RN - Registered Nurse - State Licensure and/or Compact State Licensure required - For Fidelis Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Title: Remote Speech Language Pathologist Location: US florida Job Description: Salary:$47.00 Hourly REMOTE Speech-Language Pathologist (CCC-SLP) – Florida License Required Company: Saratoga Medical Location: Part-Time Remote (must hold an active Florida SLP license) Overview: Saratoga Medical is currently hiring a part-time (12 hours per week) Certified Speech-Language Pathologist (CCC-SLP) to provide REMOTE speech therapy services. This is an exciting opportunity to deliver high-quality telehealth care from the comfort of your home while supporting patients across the state of Florida. This position offers a competitive rate, flexible scheduling, and the chance to make a lasting difference in the lives of the patients you serve. Position Highlights: - 100% remote position - Competitive compensation - Opportunity to serve patients across Florida through telehealth Qualifications: - Master’s degree in Speech-Language Pathology from an accredited program. - Active Florida license to practice as a Speech-Language Pathologist (required). - ASHA Certificate of Clinical Competence (CCC-SLP) required. - Minimum of two years' post-graduate clinical experience preferred. - Experience with teletherapy platforms strongly preferred. - Strong communication and organizational skills. Why Join Saratoga Medical: At Saratoga Medical, we proudly connect exceptional healthcare professionals with opportunities to serve patients nationwide. Our SLPs enjoy flexible, rewarding positions that make a real impact while maintaining work-life balance. Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.

• Support patients through two complementary modalities: - **Text therapy**: asynchronous written exchanges that enable continuous, flexible follow-up. - **Video sessions**: 40-minute video consultations scheduled according to your availability and chosen working language. • Join a multicultural community of psychologists. • Benefit from validated clinical tools and a clinical supervision team. • Receive a steady flow of clients within your area of expertise.

• Provide telehealth sessions in the evenings and weekends • Serve clients in Oklahoma • Deliver exceptional mental health care