Remote Behavioral Health Utilization Clinician - Impactful Role
Cambia Health Solutions
- Remote job
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 with physicians, case management, and quality improvement. The position requires a Master’s in Behavioral Health and at least three years of utilization management or behavioral health care management experience, with #J-18808-Ljbffr Cambia Health Solutions
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for remote work with a Louisiana preference. The role focuses on ensuring appropriate, evidence-based behavioral health... ...with care teams, and a chance to impact member outcomes across care #J-18...Remote job
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests, determine... ...services. This fully remote role offers a weekday... ...EST) and the chance to impact access to care for... ...RN, and experience in utilization #J-18808-Ljbffr CVS...Remote jobWeekday work
$27.02 - $48.55 per hour
...related to mental health and substance... ...Details: This fully remote role supports the Ambetter... ...by reviewing behavioral health authorizations... ...and have prior utilization management or... ...behavioral health clinicians required. Clinical... ...here makes that impact real every day. You...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to... ...medically appropriate. This fully remote role supports Oregon Medicaid... ...healthier lives, making a real impact every day through meaningful challenges...Remote workFull timeWork at officeFlexible hoursDay shift- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
$54.1k - $116.76k
...building a world of health around every individual... ...at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12... ...and play a critical role in reviewing behavioral... ...work that directly impacts access to behavioral...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work- ...Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels...Remote work
$54.1k - $142.58k
...re building a world of health around every individual... ...community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential... ...for a rewarding remote role that combines clinical... ...making a meaningful impact on outcomes....Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing... ...requests and inpatient cases across various settings. The role emphasizes collaboration with providers, medical directors...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a...Remote workFull timeDay shift
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote work
- CVS Health is hiring a Behavioral Health Precertification/UM Clinician for a 100% remote role, working Monday-Friday 12:00 PM to 8:30 PM EST. You will review behavioral health... ...and an RN license, with 1+ year of Utilization Management experience and 3+ years inpatient...Remote jobMonday to Friday
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental health and substance... ...appropriate levels of care and efficient utilization of services. Required qualifications include...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position requires active behavioral health licensure in Louisiana or a compact RN with psychiatric experience and a minimum of three years in behavioral...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote Louisiana-based role with a Sunday through Thursday schedule. You will review services for medical necessity, apply evidence-based guidelines, and coordinate utilization decisions with...Remote job
- Centene Corporation is seeking a remote Behavioral Health Utilization Review Clinician for the California Market. The role supports a Monday-Friday schedule with Pacific Time hours, open to other states with suitable hours. Preferred candidates have BH utilization management...Remote jobMonday to Friday
- Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven...Remote job
- CVS Health is seeking a licensed Behavioral Health Utilization Management clinician to ensure evidence-based services and appropriate treatment planning for members across the care continuum. This remote role prioritizes quality and cost-effective care while coordinating...Remote job
- Cambia Health Solutions is seeking a licensed behavioral health clinician to perform utilization management reviews and coordinate care for members across WA/OR/ID/UT. The role requires strong clinical judgment, interdisciplinary... ...a national team in a remote-capable environment,...Remote job
- Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to perform utilization management across prospective, concurrent, and retrospective reviews. The role emphasizes collaboration with physician... ...The position supports remote work options within OR,...Remote job
- Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate medical services and determinations for members. This remote role requires a Louisiana-resident license setup and extensive behavioral health expertise...Remote job
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance... ...medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and benefits...Remote jobFull timeDay shift
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote role. You will review authorization requests, apply guidelines, and coordinate with... ...psychiatric/behavioral health experience, plus utilization management background and inpatient BH...Remote jobFlexible hoursWeekday work
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred schedule. The position supports medical necessity reviews, discharge planning, and coordination across care teams to ensure quality outcomes. Ideal candidates...Remote jobWeekend work
$71.14k - $115.86k
...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference... ...s lives and healthcare? Then this role may be the perfect fit. What... ...data protection and integrity. #LI-Remote Pay ranges vary based on the...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours- ...Centene Corporation seeks a remote Behavioral Health reviewer to support the Texas Ambetter Inpatient Behavioral Health population. The role requires 4 x 10-hour shifts weekly with Saturday availability; weekend differential is offered. You will evaluate care, perform...Remote workShift workWeekend work
- Isite Technologies Inc is looking for a passionate Behavioral Health Clinician to work remotely and support individuals facing mental health challenges. This role requires active Arkansas licensure in Social Work, Counseling, or Psychology and a relevant master's degree...Remote job
$90.86k - $136.29k
...Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... ...Health Utilization Management Clinician, Senior, will report to the Manager... ...employees with medical conditions that may impact their ability to work in-office, we...Full timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week- SpringHealth Behavioral Health and Integrated Care is seeking clinicians to conduct assessments, coordinate visits, and monitor... ...ASD, IDD, or mental illness. The role supports home, school, and... ...locations with flexible scheduling and remote work options. Ideal candidates will...Remote jobFlexible hours
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