Behavioral Health Utilization Review Clinician - 2nd Shift
Centene Corp.
Centene in the United States seeks a Behavioral Health Review clinician to assess mental health and substance use care, determine level of care, and authorize services. The role requires a nursing or master’s qualified clinician, U.S. licensure (RN, LCSW, LMHC, LPC, LMFT, LMHP), and 2–4 years of related experience; the incumbent will work second shift and collaborate with providers and medical leadership. You will educate teams and families, participate in rounds, and help improve quality and #J-18808-Ljbffr Centene Corp.
- ...Performs a clinical review and assesses care related to mental health and substance... ...available to work second shift. Evaluates member’... ...review of behavioral health (BH) inpatient... ...quality and appropriate utilization of services.... ...behavioral health clinicians required. Clinical...Afternoon shiftFull timePart timeWork at officeRemote workFlexible hours
$27.02 - $48.55 per hour
Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided... ...improve quality and appropriate utilization of services Interacts with BH... ...degree for behavioral health clinicians required. Behavioral health clinical...SuggestedHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours- Molina Healthcare is seeking a PMHNP for behavioral health utilization reviews in Florida. This role requires applying evidence-based criteria, reviewing medical records, and collaborating with physicians to ensure clinically appropriate, cost-effective care. The candidate...Suggested
- Centene Corp. seeks a healthcare professional to review ABA services for medical appropriateness and monitor clinical effectiveness... ...prior authorization reviews, data analysis to improve BH service utilization, and collaboration with BH providers. Excellent communication...SuggestedRemote job
$26.41 - $51.49 per hour
...Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services.... ...Responsible for verifying that behavioral health services are medically necessary... .... Works collaboratively with the utilization and care management departments...SuggestedHourly payContract workWork experience placementLive inWork at officeLocal area- A technology-driven health insurance company in New York seeks a Recruitment Leader to evaluate clinical appropriateness of services... ...with at least 6 years of clinical experience and 1 year in utilization review. Responsibilities include timely medical reviews, clinical...Full time
- Molina Healthcare is seeking an RN to support clinical member services review assessment processes in New York. You will verify medical necessity and alignment with guidelines, coordinating care across the continuum to reach desired outcomes. Responsibilities include prior...
- ...healthcare staffing firm is seeking a qualified clinical nurse for a utilization management role. Candidates should possess at least 2 years of... ...various healthcare staff to ensure quality care and involves reviewing medical necessity. Applicants can reach out to the recruitment...
- ...management guidelines. Candidates should have strong experience in utilization review or case management and excellent communication skills. This... ...requires the ability to analyze data and coordinate care effectively within a multidisciplinary team. #J-18808-Ljbffr UF Health
$52k
Clinician (Behavioral Health & Substance Use Counselor) Compensation: $52,000 Location: 900 E Vine St, Kissimmee, FL 34744 Schedule: Full-Time (40 Hours Weekly) Reports To: Clinical Director Status: Full-time FLSA: Exempt Your work can change a life. Literally. Every...Afternoon shiftFull timeWork at officeWeekend work- Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level of care, and support revenue cycle efficiency. You will conduct medical record assessments, coordinate care with interdisciplinary...
- Job Summary We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will... ...technology. Commitment to maintaining patient confidentiality and ethical standards. #J-18808-Ljbffr Health Business Solutions LLCWork experience placement
- TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews, assisting...Remote job
$56.5k - $77k
...Parental Leave Health Benefits High-... ...substance abuse and/or behavioral health nursing... ...3 different shifts: all shifts... ...days per week 2nd Shift: 2:00 PM... ...recommend to a clinician, case manager,... ...for the shift. Reviews treatment plans... ...assigned/requested. Utilize electronic fax...Afternoon shiftCurrently hiringImmediate startAll shifts10 hours per weekShift workNight shiftWeekend workDay shift- Centene Corporation in Florida is seeking a qualified professional to review ABA services and member health status to ensure medical appropriateness and regulatory compliance. You will monitor outcomes and coordinate care with BH teams. The ideal candidate holds BCBA certification...Remote job
- ...innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare... ...who want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills,...Remote jobLocal area
- A healthcare services company is seeking a Clinical Care Reviewer based in Doral, FL. The role requires a current FL RN licensure and... ...settings such as ER or ICU. Candidates should have experience with Utilization Review, familiarity with Interqual Criterion, and good...
- ...accommodation or an alternative application process. Licensed Behavioral Health Clinician Regular Full-Time 80 Hrs BARTON CLINIC, Rockledge, FL, US... ...improvement activities, program development, chart reviews, and clinical meetings to support clinical outcomes and operational...Full timeTemporary workWork at office
- A leading telehealth service provider seeks a Registered Nurse to manage geriatric behavioral health care remotely. This role requires an active Florida RN license and focuses on mental health support for older adults, dementia care management, and caregiver guidance. The...Afternoon shiftRemote jobWeekend work
- A dedicated behavioral health organization is seeking a Florida-licensed Registered Nurse for a remote Geriatric Behavioral Health Care Manager role. The RN will deliver ongoing mental health support through telehealth, manage dementia care, and guide caregivers. This position...Afternoon shiftRemote jobFlexible hoursWeekend work
- Overview A Behavioral Health Practitioner (BHP) works under the direction and supervision of a Clinical... ...). It may include telehealth services utilizing both audio and visual communication... ...and supervision, treatment plan reviews, developing aftercare treatment and all...Afternoon shiftWork at officeFlexible hoursWeekend workEarly shift
- # Behavioral Health RN1635 East Hwy 50, Ste 101, Clermont, FL 34711February 24, 2026### Job Description... ...-day SNVs and OASIS within 48 hours* Utilize appropriate behavioral health and... ..., including responding to QA and coder reviews and performing clinical record audits*...
$26.41 - $51.49 per hour
...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Hourly payWork experience placementWork at office- ...Horizons is the largest mental health and addiction recovery... ...General Summary We are seeking a Behavioral Health Admissions Nurse for our... ...and initial treatment plans utilizing the electronic health record... ...Consults with the APRN on-call to review any medical concerns that may...Day shift
- ...general supervision of the Director of Health Services, the Concurrent Review Nurse is responsible for ensuring... ...standards. Conduct medical and behavioral health (BH) reviews for pre- and... ...experience in clinical review or utilization management Language Skills Bilingual...
- ...planning and delivery of care utilizing nursing processes: assessment... ...procedure. Asses electronic health record independently... ...with patients and families to review plan of care and solicits input... ...supervision, observation of behavioral health patients, and adheres...Afternoon shiftDaily paid
- ...for all supplies used for procedure and utilizes appropriate exam codes. Takes on call shift responsibilities as required by the department. Reviews patient history and physician's orders... ...RESPONDING TO CHANGE STANDARDS OF BEHAVIOR Education And Certification Requirements...Afternoon shiftWork experience placementShift work
$24 - $26 per hour
Behavior Therapist (BT) — ABA Therapy Starting at $24-$26/hr | Full-Time | Monday-Friday, 8:00 AM-4:30 PM | No Evenings or Weekends ANNA... ...and an additional $400 after 6 months. Comprehensive Benefits: Health, dental, and vision insurance, 401(k) with company matching,...Afternoon shiftWeekly payFull timeSummer workSeasonal workWork at officeRelocation packageMonday to Friday- ...support healthier aging and address mental health challenges by making high-quality,... ...services accessible to all older adults. As a behavioral health organization dedicated to older... .... We look forward to meeting passionate clinicians ready to make a difference. Our...Afternoon shiftRemote jobFull timeLocal areaMonday to FridayFlexible hoursWeekend work
$58k
...resiliency and decrease risk‑related behaviors through the application of a... ...Work, Psychology, Mental Health Counseling, Marriage and... ...fulfilling, and healthy lives. Utilize the Transtheoretical Model of... ...and public speaking events. Review eligibility requirements for...Afternoon shiftFull timeInternshipWork at officeNight shiftWeekend work
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