ABA Utilization Review Clinician (Remote)
Centene Corp.
Florida, NY
- Remote job
Centene Corp. seeks a healthcare professional to review ABA services for medical appropriateness and monitor clinical effectiveness in Florida. The role involves prior authorization reviews, data analysis to improve BH service utilization, and collaboration with BH providers. Excellent communication with members and families is essential, with a focus on compliant, patient-centered care. #J-18808-Ljbffr Centene Corp.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the ABA Utilization Review Clinician (Remote) in Florida, NY vacancy
- Centene Corp. seeks a healthcare professional to review ABA services for medical appropriateness and monitor clinical effectiveness in... ...authorization reviews, data analysis to improve BH service utilization, and collaboration with BH providers. Excellent communication...Remote job
- Position Purpose Performs reviews of member's care and... ...Behavioral Analysis (ABA) services provided to... ...quality and appropriate utilization of services Interacts... ...for behavioral health clinicians required. Behavioral... ...approach to work with remote, hybrid, field or office...Remote workFull timePart timeWork at officeFlexible hours
- ...Corporation in Florida is seeking a qualified professional to review ABA services and member health status to ensure medical appropriateness... ..., and customer-service skills are essential for success in a fast-paced remote environment. #J-18808-Ljbffr Centene CorporationRemote job
$27.02 - $48.55 per hour
...Purpose: Performs a clinical review and assesses care related to... ...the flexibility to work remotely from their home anywhere in... ...improve quality and appropriate utilization of services Provides... ...degree for behavioral health clinicians required. Clinical knowledge...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Austin, TX4 days ago$80.47k - $94.55k
UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hours- Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant...Remote job
- Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and concurrent... ...appropriate and coordinates with providers and families. This remote position supports working from home anywhere in the Central...Remote jobWork from homeWeekday work
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers... ...working in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position.Your Responsibilities:Review...Remote workWork at officeFlexible hours
Spectrum Billing Solutions
Skokie, IL3 days ago - Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible...Remote jobWork from homeMonday to Friday
- Palmetto GBA is seeking an experienced RN for remote utilization review to evaluate medical claims using established criteria and guidelines. The role emphasizes timely decisions, documentation, and collaboration with internal teams. You will work from a home office and...Remote jobWork from homeHome office
- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with...Remote jobWork from home- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States3 days ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...Remote work
3B Healthcare, Inc.
United States1 day ago - Centene Corporation is seeking a Behavioral Health Reviewer to assess and authorize mental health and substance abuse care across the... ...experience and relevant licensure; master’s degree for behavioral health clinicians is preferred. #J-18808-Ljbffr Centene CorporationRemote job
- ...R1 RCM is seeking an experienced Utilization Review Author (RN) for our Physician Advisory Team. The role involves first-level admission and continued stay reviews using InterQual/MCG criteria and requires hospital-based UR or Case Management experience. The position...Remote workFlexible hours
R1 RCM
Nashville, TN3 days ago $65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30... ...? No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend workPacer Group
United States1 day ago- Centene Corporation seeks a Clinical Reviewer focused on mental health and substance use care. The role conducts clinical reviews, prior... ..., working with BH providers and leadership. The position is remote within the Central Time Zone, with standard hours Mon-Fri 8am-5...Remote job
$1,949.74 per month
...Profession Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review... ...6 Duration 13 Week(s) Job Description Remote Utilization Review RN responsible for concurrent reviews, medical...Remote workWeekly payShift workProvidence Health and Services
Eureka, CA5 days ago- ...Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote work
Ascension
Milton, FL3 days ago - ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
AMN Healthcare
United States2 days ago $78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast...Remote workFull timeContract workWork at officeWork from homeFlexible hoursGainwell Technologies
United States2 days ago- ...Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases, collaborating with interdisciplinary teams, and utilizing Epic and InterQual...Remote workWeekly pay
Slate Healthcare
United States6 hours ago - ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
HealthHelp
Houston, TX1 day ago - ...assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have strong behavior health experience and a relevant license. This position...Remote jobFlexible hours
- ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details...Remote workContract workTemporary workLocal areaShift work
Hired by Matrix
United States1 day ago - ...Preferred Skills & Certifications: Experience in Utilization Review or case management roles. Specialty certifications relevant... ...transportation. Strong ability to work independently in remote settings. Must be able to handle fast-paced and complex...Remote workFlexible hours
vTech Solution
Santa Rosa, CA4 days ago - ...seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference... ...in NC, five years of clinical experience, including acute care and utilization management experience. #J-18808-Ljbffr Vaya HealthRemote job
- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role involves day-to-day clinical reviews, documentation, and collaboration with Medical Leadership across...Remote job
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr Medix™Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to ABA Utilization Review Clinician (Remote). Be the first to apply!
Related searches
- clinician Florida, NY
- licensed mental health clinician Florida, NY
- intake clinician Florida, NY
- bilingual clinician Florida, NY
- mental health clinician Florida, NY
- outpatient clinician Florida, NY
- school based clinician Florida, NY
- crisis clinician Florida, NY
- senior network engineer remote Florida, NY
- remote legal intern Florida, NY