Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Behavioral Health Utilization Review Clinician

Centene Corporation

Wisconsin
  • Remote job

Centene Corp. offers a fully remote Utilization Review Clinician - Behavioral Health role. The position emphasizes clinical review of mental health and substance use services, with a standard CST schedule and holiday rotation. US-based candidate with graduate nursing or a Bachelor’s degree plus 2–4 years' related experience is preferred; master’s in behavioral health is strongly recommended. Licensure in BH or RN state licensure may be required. #J-18808-Ljbffr Centene Corp.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Clinician in Wisconsin vacancy
  •  ...Centene Corporation is seeking a remote BH utilization reviewer to assess mental health and substance abuse care, authorize services, and present findings to...  ...4 years of experience and an applicable license. A master’s in behavioral health is preferred. #J-18808-Ljbffr... 
    Remote work

    Centene Corporation

    Wakeeney, KS
    2 days ago
  • $27.02 - $48.55 per hour

     ...Medical Management/Health Services team....  ...Performs a clinical review and assesses care...  ...review of behavioral health (BH) inpatient...  ...and appropriate utilization of services Provides...  ...health clinicians required. Clinical...  ...approach to work with remote, hybrid, field or... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    California, MO
    3 days ago
  • Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for...  ...coordination of care across providers. The position offers remote flexibility with a 8am-5pm schedule on days (Tuesday-... 
    Remote job
    Weekend work

    IntelliResume

    Louisiana, MO
    5 days ago
  •  ...Manpower Group (USA) is seeking a clinically driven RN or LPN with utilization management experience for a fully remote, temporary role. You will evaluate behavioral health and medical necessity reviews to authorize appropriate levels of care, impacting member outcomes.... 
    Remote work
    Temporary work

    Manpower Group Inc.

    United States
    19 hours ago
  • Centene Corp. seeks an Utilization Review Clinician in a remote role requiring Georgia licensure. You will review mental health and substance use services, handling prior authorizations and concurrent inpatient reviews while collaborating with providers and medical directors... 
    Remote job

    Centene Corp.

    Brooklyn, NY
    2 days ago
  •  ...diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health...  ...evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have... 
    Remote job
    Flexible hours

    Centene Corporation

    California, MO
    3 days ago
  • $40 - $45 per hour

     ...re a clinically driven RN or LPN with utilization management experience and a passion...  ...meaningful coverage decisions, this remote opportunity offers the chance to directly...  ...your expertise in medical necessity review and behavioral health services helps ensure members receive... 
    Remote work
    Hourly pay
    Temporary work
    Monday to Friday

    Manpower Group Inc.

    United States
    1 day ago
  • Point32Health in Massachusetts seeks a Behavioral Health Utilization Management Clinician to conduct benefit coverage reviews and clinical determinations under supervision within...  ...while maintaining regulatory compliance. Remote work as required with a fast-paced environment... 
    Remote job

    P32HS Point32Health Services Inc

    Canton, MA
    3 days ago
  • $50k

     ...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity...  ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the...  ...) Bachelor’s degree in a health or behavioral health-related field required... 
    Remote work

    Santa Barbara Cottage Hospital

    United States
    2 days ago
  • Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will...  ..., 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr Comagine Health
    Remote job

    Comagine Health

    Oregon, WI
    3 days ago
  • $2,000 per week

     ...RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in...  ...Nursing Assistants & LPNs Allied Health Professionals (PT, OT, RT, Lab Techs...  ...Rapid Response Teams   Allied & Behavioral Health Speech & Language Pathologists... 
    Remote work
    Weekly pay
    For contractors
    Local area
    Shift work
    Night shift

    RadHealth+

    Torrance, CA
    22 hours ago
  • Gainwell Technologies is seeking a Behavioral Health Prior Authorization reviewer to adjudicate submissions for Substance Use Disorder Treatment...  ...Adult Mental Health Day Treatment. This 100% remote role involves utilization review and quality assurance with no direct... 
    Remote job

    Gainwell Technologies

    Madison, WI
    4 days ago
  •  ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization... 
    Remote work

    TriWest Healthcare Alliance

    United States
    2 days ago
  • Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas. Review clinical...  ...populations. The position emphasizes utilization review, documentation, and collaboration with... 
    Remote job
    Work from home

    Comagine Health

    Oregon, WI
    5 days ago
  •  ...One of the largest health benefits companies in the...  ...benefits, dental, vision, behavioral health benefit...  ...authorization and concurrent review. Provides monthly...  ...treatment setting by utilizing the applicable medical...  ...Additional Info: *possible remote opportunity after... 
    Remote work
    Contract work
    Monday to Friday
    Flexible hours

    HealthCare Support

    New York, NY
    2 days ago
  • Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews of mental health and substance use authorization requests across levels of care. This role supports medical necessity, coding accuracy, and policy compliance... 
    Work at office

    Blue Shield of CA

    Redding, CA
    3 days ago
  •  ...Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental health and substance use services. This remote role may require on-site travel to Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care... 
    Remote work
    Full time

    Umpqua Health

    United States
    18 hours ago
  •  ...Utilization Review NurseThis position has a remote option for those living close and will be able to come into the hospital...  ...with other members of the health care team to ensure the above according...  ...'s member's health care for behavioral health care management.Follow CHRISTUS... 
    Remote work
    Full time

    CHRISTUS Health

    Alamogordo, NM
    19 hours ago
  •  ...Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days...  ...help patients achieve optimal health, access to care, and appropriate...  ...years of acute hospital or behavioral health patient care...  ...Locations Thop Transmountain Campus (Remote) #J-18808-Ljbffr... 
    Remote work
    Full time
    Work at office
    Flexible hours
    Shift work

    Oracle

    El Paso, TX
    3 days ago
  •  ...Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's... 
    Remote work

    Comagine Health

    Oregon, WI
    3 days ago
  •  ...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 work
    Full time
    Work from home

    ExamWorks

    New York, NY
    5 days ago
  • $27.02 - $48.55 per hour

     ...Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA)...  ...Key Details: This is a remote position; however,...  ...quality and appropriate utilization of services Interacts...  ...behavioral health clinicians required. Behavioral... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Monday to Friday
    Flexible hours

    Centene Corporation

    Wausau, WI
    2 days ago
  • $130 - $145 per hour

     ...Job Description Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance...  ....   Work Location: This position is fully remote and open to candidates residing in the U.S.,... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work from home
    Home office

    Oscar Health

    New York, NY
    15 days ago
  •  ...This is a great opportunity for a local remote position. Schedule PRN (As...  ...support all units/staff (commercial, behavioral health, inpatient, etc). Requirements:...  ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions... 
    Remote work
    Relief
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    3 days ago
  •  ...A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have... 
    Remote work
    Contract work

    IntePros

    United States
    4 days ago
  •  ...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... 
    Remote work

    Medix

    United States
    18 hours ago
  •  ...Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote role. You will review home health documentation, audit OASIS and care plans, and ensure coding accuracy to protect reimbursement integrity. Qualified candidates hold an... 
    Remote work

    Concierge Home Care

    Jacksonville, FL
    2 days ago
  •  ...WellSense Health Plan is seeking an Inpatient Utilization Management Clinician for a fully remote role in the United States. You will evaluate inpatient medical necessity, monitor...  ...nursing degree, and 2 years of utilization review experience with InterQual. #J-18808-Ljbffr... 
    Remote work

    Well Sense Health Plan

    Charlestown, NH
    3 days ago
  •  ...Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests. The role requires documentation...  ...necessity criteria, and coordinating with Medical Directors. Remote options are available for eligible candidates. The position... 
    Remote work

    University of Minnesota School of Nursing

    Sacramento, CA
    18 hours ago
  •  ...management and specialty pharmacy services, behavioral health services, and other administrative...  ...of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical...  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Full time
    Work at office
    Monday to Friday
    Flexible hours

    AmeriHealth Caritas

    Dover, DE
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Review Clinician. Be the first to apply!