Remote Utilization Review Specialist - Behavioral Health
Santa Barbara Cottage Hospital
FHE Health is seeking an experienced UR Specialist to manage clinical authorizations with insurers, ensuring timely communication and adherence to payer guidelines. You will support patient access by securing initial and continued authorizations and collaborating with clinical teams to document medical necessity.
Join a team focused on compliant, high-quality care in behavioral health, with responsibilities centered on maximizing reimbursement and maintaining rigorous documentation standards.
#J-18808-Ljbffr$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field required...Remote work- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment... ...a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide...Remote jobWork at officeWork from home
- Compass Health Center is seeking a Remote Utilization Review Specialist to obtain insurance authorization for patients receiving Behavioral Health treatment at high levels of care. The UR Specialist serves as a liaison between the clinical team and insurers, helping patients...Remote job
- 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
- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating...Remote jobWork at officeWork from home
- ...FHE Health Job OpportunityFHE Health is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...are seeking an experienced specialist who is passionate about... ...required preferred.2-3 years of utilization review experience in behavioral...Remote workDaily paidFull time
$62k - $70k
...Utilization Review Specialist Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance... ...to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and...Remote workFull timeLocal area$45k - $55k
...Careers That Change Lives Compass Health Center is a recognized leader in crisis... ...through an intermediate level of behavioral healthcare. Beyond our genuine... ...position, clickhere . Back to jobs Utilization Review Specialist Remote Weekly outpatient therapy isn't always...Remote workWork at office- ...mattersMesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa SpringsMesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- ...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting....Remote workFull time
$39.4 - $53 per hour
...revenue cycle management solutions for health systems, including hospitals and... ...other weekend We are seeking Virtual Utilization Review Specialists to join our team. Essential job... ...and Abilities Required: This is a remote role which requires access to high speed...Remote workTemporary workWork at officeLocal areaMonday to FridayWeekend work$65k - $85k
...Utilization Review Specialist (RN) – RemoteAt Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team.This role is ideal for an RN with strong experience in OASIS, coding, QA, and home health...Remote workMonday to FridayWeekend work- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role... ...and a strong collaboration with physicians and care teams. Remote work is available after training. #J-18808-Ljbffr...Remote job
- 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 job
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) for a remote position based in Alabama. You will assess the medical necessity and quality of care through prospective, concurrent, and retrospective reviews to ensure compliance with clinical criteria,...Remote job
- Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for ensuring...Relief
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- Evolve Treatment Centers in West Palm Beach, Florida, is seeking a full-time Utilization Review Specialist. This role involves initiating pre-certification authorizations, communicating with facilities, and maintaining patient census. Candidates should have a High School...Full time
- Mesa Springs, part of Lifepoint Health, seeks an Utilization Review Specialist to support inpatient and outpatient coverage decisions. You will validate criteria, complete certifications, report denials, and collaborate with clinicians to secure appropriate services. The...
- Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical...
- ...Job Description Job Description Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department... ...You’ll Do Champion patient care by reviewing medical records and clinical documentation...Remote workFull timeWork at office
- ...Supervisor Of Behavioral Health Utilization ReviewSaint Luke's Crittenton Children's Center in South Kansas... ...of Behavioral Health Utilization Review to join our team.This role facilitates... ...Monday – Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity...Remote workMonday to FridayDay shift
$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not simply valued – they’re invaluable... ...Department Coordinate and execute the review and research functions required to... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$18.13 - $29.9 per hour
...Behavior Health Specialist I Position is home based. Under the direction of IBT Coordinator and Clinical... ...care planning & treatment team review process under the direction of the Clinical... ...in a safe, effective manner, utilizing the least restrictive, safe patient care...Remote workDaily paidWork from homeShift work- ...Rogers Behavioral Health in Wisconsin is seeking a UR Case Management Specialist to lead care coordination from admission to discharge, monitor treatment, and advocate... ...This is a full-time hybrid role with potential remote or on-site duties, requiring strong communication...Remote workFull time
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers industry... ...Utilization Review (UR) Specialist to our growing team. The... ...environment. This is a fully remote or office/home hybrid... ...years of related ABA and/or Behavioral Health experience.Bachelor's or master...Remote workWork at officeFlexible hours
- ...Utilization Review Specialist | Remote | Full-TimeBanyan Treatment Centers is seeking an experienced and detail... ...facing substance use and mental health disorders. Backed by TPG, one of the... ...environmentPreferred:Graduate degree in a health or behavioral health related fieldClinical...Remote workTemporary work
- ...purpose-driven leadership. At Bradford Health Services, we are committed to... ...digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching... ...people. About the Role: The Utilization Review Specialist plays a critical role in ensuring...Remote workPart time
- ...Behavioral Health SpecialistAs a Behavioral Health Specialist, you will be part of an integrated care team... ...opportunities for both remote and on-site work.Professional... ...use disorders.Utilizes evidence-based treatment... ...policies.Participates in peer review processes, agency...Remote workWork at officeFlexible hours
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