Remote Behavioral Health Utilization Clinician
P32HS Point32Health Services Inc
- Remote job
Point32Health in Massachusetts seeks a Behavioral Health Utilization Management Clinician to conduct benefit coverage reviews and clinical determinations under supervision within the Behavioral Health department. The role partners with UM leadership and staff to improve service, control costs, and ensure clinically appropriate care while maintaining regulatory compliance. Remote work as required with a fast-paced environment. #J-18808-Ljbffr P32HS Point32Health Services Inc
- ATHENA Consulting is seeking a part-time Utilization Manager Clinician for a remote role based in Hanover, MD. The position reviews behavioral health services and coordinates case management to optimize member outcomes, requiring MD licensure and a health professional...Remote jobPart timeFlexible hoursWeekday work
$27.02 - $48.55 per hour
...care related to mental health and substance abuse. Monitors... ...Details: This is a remote position, and... ...will have experience in behavioral health and/or substance abuse, utilization management, and clinical... ...for behavioral health clinicians required. Clinical knowledge...Remote workHourly payFull timePart timeWork at officeFlexible hours- Centene Corporation is seeking a Behavioral Health Reviewer to assess and authorize mental health and substance abuse care across the care... ...experience and relevant licensure; master’s degree for behavioral health clinicians is preferred. #J-18808-Ljbffr Centene CorporationRemote job
- ...seeks a Clinical Reviewer focused on mental health and substance use care. The role... ...providers and leadership. The position is remote within the Central Time Zone, with standard... ...degree and state licensure; Master’s in Behavioral Health preferred. #J-18808-Ljbffr...Remote job
- Centene Management Company LLC is seeking a remote Behavioral Health Reviewer to assess mental health and substance use care from home within the Central Time Zone. You will review level of care, perform prior authorizations, and help plan discharges while coordinating...Remote job
- A diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality...Remote jobFlexible hours
- Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and... ...medically appropriate and coordinates with providers and families. This remote position supports working from home anywhere in the Central Time...Remote jobWork from homeWeekday work
- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating...Remote jobWork at officeWork from home
- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment... ...a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide...Remote jobWork at officeWork from home
- PacificSource Utilization Management Clinician is sought to support members remotely from Florida, Tuesday through Saturday. You will collaborate with physicians... ...requires a RN or related license, 3 years nursing/behavioral health experience, and knowledge of ICD/CPT codes....Remote job
$68k - $75k
...Intensive In-Home Therapy (IHT) Clinician – Pre-Licensed The... ...Licensed) is a master s-level behavioral health professional working toward... ...in accordance with MBHP utilization management standards, including... ...telehealth platforms for remote therapy sessions is...Remote workWork from homeAfternoon shift$85.03k - $88.86k
...experiencing homelessness, behavioral health conditions, substance use challenges... ...engagement with clients, remote work or work‑from‑home... ...The Behavioral Health Clinician is embedded on‑site, providing... ...there is an updated PURQC (utilization review) for every open Medi...Remote workPermanent employmentImmediate startWork from home$65 - $80 per hour
...Mental Health/Behavior Health Clinician (Contract, US-based, General Interest) Remote - US This contract opportunity is through Delfina Medical Group. Objective:... ...~ Live and asynchronous patient support. ~ Utilize evidenced based techniques that are proven to...Remote workHourly payContract workWork experience placement10 hours per weekFlexible hours- ...Behavioral Health Clinician Job duration: 3 months Job location: Arkansas (Remote) Required Qualifications/Experience: # Hold an active, unrestricted Arkansas licensure... ...in a behavioral health setting, conducting utilization reviews or behavioral health case...Remote workWork at office
- ...Sentara Health in Richmond, VA is hiring a Behavior Health Utilization Management Care Coordinator to support members who are medically and behaviorally complex. The role requires both in-person assessments and remote telephonic assessments for serious mental illness,...Remote work
- ...Centene is seeking a Utilization Review Clinician to assess mental health and substance use care across the continuum. Two schedules are available, with 1... ...times: 8:00 or 9:00 AM ET. Requires RN or Master’s in Behavioral Health, 2–4 years of related experience, and...Remote workShift work
- Sentara Health Plans seeks a Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Remote in VA and NC. This full‑time role focuses on reviewing clinical information to ensure medical necessity criteria are met for service authorization...Remote jobFull time
- ...Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will... ...requires licensure, 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr...Remote work
- ...Mindoula Health's Collaborative Care Program (CCP)... ...patients living with behavioral health challenges and... ...Behavioral Health Integration Clinician is a central member of... ...Must be proficient in utilizing electronic health... ..., scheduling systems, remote phone systems and video...Remote workFull timeMonday to Friday3 days per week
$87k - $97k
...Psych / Registered Nurse, Home Health Office Location:... ...Position Type: Full Time Remote/Virtual Position: No Coverage... ...care under physician's orders utilizing nursing theory, skills and techniques... ..., the resume of the Behavioral Health/Psychiatric Home Care...Remote workFull timeWork at officeFlexible hours$70k - $80k
...Description Job Description Hybrid Child & Family Behavioral Health Clinician (LMSW/LCSW) 80% Remote Location: Bronx, NY (Hybrid – 1 Day Onsite, 4... ...knowledge of DSM-5 diagnostic criteria ✔ Ability to utilize behavioral health screening and assessment tools...Remote workPermanent employmentFull time1 day per week$35.6 - $54.93 per hour
Job Description:The Clinical Mental Health Professional utilizes clinical expertise to perform psychosocial... ...various mental, emotional, and behavioral disorders, modifying care plan(s) to... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork at office$35.6 - $54.93 per hour
Job Description The Clinical Mental Health Professional utilizes clinical expertise to perform psychosocial... ...various mental, emotional, and behavioral disorders, modifying care plan(s) to... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork at office- ...simple, yet powerful: to enhance the health and well-being of every person we... ...under the leadership of the Manager of Behavioral Health or designee, the Behavioral... ...Excel, as well as the ability to utilize a Telemedicine cart for remote assessments. Join us and...Remote workFull timeInternshipShift workNight shift
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely... ...The candidate should have 2-3 years of UR experience in behavioral health, with strong ASAM criteria knowledge and excellent...Remote job
- ...Position Summary The Integrated Behavioral Health Clinician (BHC) is an embedded member of the interdisciplinary... ...and trainings as assigned # Utilize validated behavioral health screening... ...5 am to 5 pm; # For the occasional remote work, the ability to work remotely...Remote workFull timeCasual workLocal areaMonday to Friday
$80.47k - $94.55k
...UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 9... ...Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...through primary care, specialty care, behavioral health services, and care...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hours- WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure appropriate, effective delivery of mental health and substance use services.... ...communication, with a focus on quality and compliance. Remote work is supported. #J-18808-Ljbffr WellSense Health...Remote job
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting... ..., concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...(Qualifications) Bachelor’s degree in a health or behavioral health-related field...Remote work- Sentara Health Plan PG in the United States seeks a Behavior Health Utilization Management Care Coordinator to work with medically and behaviorally complex members. The... ...both in-person face-to-face assessments and remote telephonic assessments for SMI, SED (ages 2+),...Remote work
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