UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)

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  "Id": "42bf1ef0-0be4-407a-b647-bebdfb4ad43c",
  "Title": "UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based)",
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        "State": {
          "Code": "NC",
          "Name": "North Carolina"
        },
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          "Code": "USA",
          "Name": "United States"
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        "City": "Fayetteville",
        "Line1": "711 Executive Place",
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        "State": {
          "Code": "NC",
          "Name": "North Carolina"
        },
        "Country": {
          "Code": "USA",
          "Name": "United States"
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      "LocalizedName": "Cumberland Office",
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      "LocalizedDescription": "Cumberland office"
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        "City": "Charlotte",
        "Line1": "8520 Cliff Cameron Drive",
        "Line2": "Ste 300",
        "State": {
          "Code": "NC",
          "Name": "North Carolina"
        },
        "Country": {
          "Code": "USA",
          "Name": "United States"
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        "Line1": "521 North Brightleaf Blvd",
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          "Code": "NC",
          "Name": "North Carolina"
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          "Code": "USA",
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  "MatchScore": 1,
  "PostedDate": "2026-05-08T13:18:44.78Z",
  "JobCategoryName": "Utilization Management",
  "JobLocationType": 2,
  "OpportunityType": 0,
  "BriefDescription": "The UM Clinical Specialist-Behavioral Health performs professional and administrative work, primarily utilization reviews, utilization management and active care management to ensure economical and effective consumer service delivery by PHIP enrolled network providers; The position is responsible for providing medical necessity reviews of individualized service plans and requests for authorization of services to ensure consumers receive services in the least restrictive, most integrated setting appropriate to the individual’s needs; The primary role is to review for services under the Medicaid B waiver and state funded benefits; complete related work as required.\n \nResponsbilities & Duties-\nUtilization Reviews and Management",
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  "RequisitionNumber": "UMCLI003418"
}