Remote Behavioral Health Utilization Review Clinician
Centene Corporation
- Remote job
Centene Corp. is seeking a Utilization Review Clinician - Behavioral Health for a remote role in Georgia. Candidates must hold an active Georgia licensed clinician or compact nursing license and have BH experience. The role runs Monday–Friday 8:00 AM to 5:00 PM with rotating holidays and weekends, and involves prior authorizations, concurrent reviews, and education of providers and families. The ideal candidate has strong communication, organizational skills, and knowledge of BH utilization #J-18808-Ljbffr Centene Corp.
- Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess care levels, and authorize mental health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC...Remote workDay shift
- ...Walker Healthforce, Inc. is seeking a Care Review Clinician II with 2-4 years of clinical practice to perform inpatient and outpatient behavioral health utilization reviews and support medical necessity decisions. This is a remote contract role. In this position, you...Remote workContract work
$27.02 - $48.55 per hour
...Performs a clinical review and assesses care... ...to mental health and substance abuse... ...concurrent review of behavioral health (BH)... ...and appropriate utilization of services Provides... ...health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Experience in both medical and behavioral health and/or substance use disorder... ...Paid HolidaysWork-life balance.Remote settingRole Description:This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeMonday to FridayFlexible hours
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- ...Cambia Health is seeking a Behavioral Health Utilization Management Clinician. This role supports prospective, concurrent and retrospective reviews to assess medical necessity and policy alignment, applying evidence-based criteria and coordinating with physicians to ensure...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. The position supports ensuring members receive timely behavioral... ...as scheduled. Responsibilities include review of requests, coordination of decisions, crisis...Remote workWeekend work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. This full-time position involves reviewing preauthorization requests, coordinating decisions with providers, and managing crisis calls with a focus on evidence...Remote workFull timeShift work
- ...Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to lead utilization management reviews and collaborate with interdisciplinary teams to ensure medically necessary... ..., and document thoroughly in a remote-friendly environment. Qualifications...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role across the U.S. You will review preauthorization requests, document decisions with providers, and manage crisis calls with clinical judgment to support safe, timely care.Requires...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests for behavioral health services, apply evidence-based guidelines, and coordinate decisions with providers while ensuring...Remote workShift workWeekend work
- ...Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to manage utilization reviews across states, ensuring medical necessity and policy compliance. Remote work is available with state licensure requirements to maintain. The role emphasizes collaboration...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. You will review preauthorization requests, coordinate decisions, and support crisis interventions while upholding evidence-based guidelines.This full-time position...Remote workFull timeShift work
- ...treatment plans for mental health and substance abuse, the... ...full-time New York Licensed Utilization Review Clinician will perform clinical... ...concurrent reviews while working remotely Monday through Friday from... ...and concurrent reviews of behavioral health services Analyzes...Remote workFull timeMonday to Friday
- ...full-time California Licensed Utilization Review Clinician will perform clinical reviews... ...assess care related to mental health and substance abuse while working remotely, with a schedule of Monday through... ...and concurrent reviews for behavioral health inpatient services Analyzes...Remote workFull timeMonday to Friday
- ...Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to perform utilization management reviews (prospective, concurrent, retrospective) for members in the US states including WA, OR, ID, UT. This remote role emphasizes collaboration with physician...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review behavioral health requests, coordinate decisions with providers, and manage crisis calls with clinical judgment. 3+ years of behavioral health...Remote workFull timeShift work
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- ...Cambia Health is seeking a Behavioral Health Utilization Management Clinician to conduct prospective, concurrent, and retrospective reviews ensuring medical necessity and policy alignment. This role... ...in multiple states, with remote work options available across designated...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role. The position involves reviewing preauthorization requests, coordinating utilization decisions, and handling crisis risk assessments while supporting quality and cost-effective...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role. You will review preauthorization requests for behavioral health services and coordinate decisions with providers and stakeholders.The position requires handling crisis calls...Remote workShift workWeekend workAfternoon shift
- ...full-time Oregon Licensed Utilization Review Clinician will conduct clinical reviews... ...related to mental health and substance abuse services... ...outpatient care in a fully remote setting. Key responsibilities... ...and concurrent reviews of behavioral health inpatient services...Remote workFull time
- ...Spectraforce Technologies, Inc. is seeking a Utilization Review Clinician - ABA to manage a large caseload, conduct monthly outreach, and coordinate... ...and CRM systems. Required BCBA certification and Licensed Behavior Analyst credentials, plus 2–4 years of related experience....Remote work
$28 - $35 per hour
...A-Line Staffing is hiring a Utilization Review Clinician - ABA (Behavior Analyst) to support a Major Health Plan in Georgia. This remote role follows a M-F schedule, 8:00 AM-5:00 PM EST, and offers hourly pay between $28 and $35 based on experience. The clinician will...Remote workHourly pay- ...Title: Utilization Review Clinician - ABA Duration: 3 Months - Contract-to-Hire Location: Remote - GA Mon-Fri | 8A-5P EST Position Summary... ...to support positive health and care outcomes. Participate... ...: BCBA - Board Certified Behavior Analyst Preferred:...Remote workContract work
$49.42k - $107.1k
...compact license. The Care Review Clinician will provide prior authorization for behavioral health services for the OH Medicaid... ...or previous experience with Utilization Reviews. WORK SCHEDULE:... ...work schedule. This is a remote position. Home office with internet...Remote workFull timeWork at officeHome officeMonday to Friday
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