Remote Behavioral Health Utilization Review Clinician
Centene Corporation
Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and concurrent BH reviews. The role ensures the level of care is medically appropriate and coordinates with providers and families. This remote position supports working from home anywhere in the Central Time Zone, with a weekday schedule 8:00 AM to 5:00 PM and occasional weekend/holiday coverage as needed. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Clinician in Topeka, KS vacancy
- ...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 workWeekend work
$27.02 - $48.55 per hour
...Performs a clinical review and assesses care... ...to mental health and substance abuse... ...flexibility to work remotely from their home... ...concurrent review of behavioral health (BH)... ...and appropriate utilization of services Provides... ...behavioral health clinicians required. Clinical...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Centene Management Company LLC is seeking a remote Utilization Review Clinician – Behavioral Health to support our Behavioral Health Medicare Plan. You will perform medical necessity reviews and authorization determinations to help ensure members receive appropriate, high...Remote workMonday to Friday
- ...Centene Corporation is seeking a Behavioral Health Reviewer to assess and authorize mental health and substance abuse care across the care continuum... ...4 years of experience and relevant licensure; master’s degree for behavioral health clinicians is preferred. #J-18808-Ljbffr...Remote work
- ...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 jobFlexible hours
- 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
$56.2k - $100.98k
...Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA)... ...Details: This is a remote position; however, applicants... ...and appropriate utilization of services... ...for behavioral health clinicians required. Behavioral...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations... ...candidate should have 2-3 years of UR experience in behavioral health, with strong ASAM criteria knowledge and...Remote job
- 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 HealthRemote job
- 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
- ...Umpqua Health in Oregon is seeking a Utilization Review Clinician to perform clinical reviews and assess care related to mental health and substance use disorders... ...with care teams. You will work with behavioral health providers, participate in appeals, and support...Remote workFull time
$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...this role, rather you will provide utilization review and quality assurance.Your role in... ...proceduresWhat you should expect in this role100% Remote home office.Full-time position....Remote workFull timeHome officeFlexible hours- ...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 workContract workMonday to FridayFlexible hours
- ...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 workFull timeWork at officeFlexible hoursShift work
- ...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 workFull time
- ...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 workFull time
$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 workHourly payFull timePart timeWork from homeHome office$57.51k - $86.02k
...Utilization Review Therapist Recognized as a Top Workplace for 13 consecutive years! Your career can mean different things in different... .... Qualifications Education: Master's degree in behavioral health field Experience: Experience in providing behavioral health...Remote jobFull timePart timeLocal areaMonday to Friday- ...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 workReliefLocal areaMonday to FridayFlexible hoursShift work
- ...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 workFull timeWork from home
- 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 degree...Remote job
- ...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 workContract work
- ...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
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels... ...Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable). InterQual...Remote work
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality...Remote workContract work
- ...Telenett is seeking a Remote Utilization Review Nurse to review medical records from a home office and determine medical necessity and care appropriateness. You will work with providers to develop compliant care plans and ensure high-quality, cost-efficient services for...Remote workHome office
- ...CorVel Corporation is seeking a Utilization Review Nurse to gather demographic and clinical information for prospective, concurrent, and retrospective... ...length of stay in line with Case Management goals. This is a remote position with responsibilities including data collection,...Remote work
- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services... ...cases to the Medical Director for review. Refer to and work closely with Case... .... Please note: The opportunity for remote work may be possible for all jobs...Remote workContract workWork at office
- ...To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization, and collaborate with interdisciplinary teams to optimize reimbursement and prevent payment denials. Key responsibilities...Remote workFull time
$78k - $88k
...Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Review Clinician. Be the first to apply!
Related searches
- mental health clinician Topeka, KS
- school based clinician Topeka, KS
- clinician Topeka, KS
- licensed mental health clinician Topeka, KS
- intake clinician Topeka, KS
- outpatient clinician Topeka, KS
- crisis clinician Topeka, KS
- junior remote developer Topeka, KS
- college summer internship remote Topeka, KS
- remote senior salesforce administrator Topeka, KS


