Remote Behavioral Health Clinical Reviewer
Acentra Health
- Remote job
Acentra Health is seeking a remote Registered Nurse (RN) or Licensed Mental Health Professional (LMHP) for a position that involves reviewing medical records and ensuring compliance with contract requirements. The role demands collaboration, quality monitoring, and effective communication with internal and external customers. Applicants must have an active license in Virginia and experience in Prior Authorization or Utilization Review. The job offers a competitive salary and comprehensive benefits, focusing on empowering better health outcomes through innovative solutions. #J-18808-Ljbffr Acentra Health
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...Behavioral Health Utilization Management Clinician Point32Health is a leading not-for-profit... ...for conducting benefit coverage reviews and utilization management according to... ...service, reduce administrative cost, ensure clinically appropriate delivery of benefit...Remote workContract workWork at officeWork from home- ...purpose of this position is to utilize clinical expertise to review medical records against established... ...contract requirements. Location: Remote (U.S.-based) Licensure Requirement... ...of clinical experience (acute care, behavioral health, and/or med-surgical) ~ Knowledge...Remote workContract workWork at officeMonday to FridayWeekend work
$55 - $75 per hour
...Location: Sacramento, CA (Remote/Hybrid) Compensation : $... ...) is committed to advancing health equity and improving access... ...Associate Director, the Licensed Clinical Reviewer supports clinical... ...identified gaps and physical, behavioral, and social determinants of...Remote workHourly payDaily paid10 hours per week$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering... ...or healthcare quality within health plans, hospital systems, or... ...experience (medical/surgical and/or behavioral health) U.S. Citizenship...Remote workHourly payWork at officeHome office- ...Director, or designee, the Clinical Reviewer - PASRR is responsible for reviewing... ...by liaising with health care providers, acute care hospitals... ...with mental health behavioral health issues. ~ Ability... ...Environmental Working Conditions Remote position which requires...Remote workWork experience placementWeekend work
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$28.37 - $35 per hour
...Company Overview Acentra Health exists to empower better health... ...technology, services, and clinical expertise. Our mission is to... ...Acentra seeks a Clinical Reviewer to join our growing team.... ...environment a plus Experience in a behavioral health setting a plus Bilingual...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description... ...solutions to federal agencies in health, agriculture, technology, and... ...Show integrity and ethical behavior, respect confidentiality, business...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
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...We offer remote work opportunities (AK, AR, AZ, CO,... ...Summary Applies clinical criteria and knowledge... ...for Applied Behavior Analysis (ABA) services... ...benefits and requirements. Reviews treatment plans and outcome... ...TRICARE or other government health care programs;...Remote workContract workTemporary workInterim roleWork at officeLocal areaShift work$73.2k - $122k
...Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax... ...with a focus on supporting your whole health. Starting on day one of your... ...medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k),...Remote workLocal areaWork from homeFlexible hours- ...Overview Job Title: Mental Health / Behavioral Health Medical Virtual Assistant – Receptionist Position type: Full-Time Work hours: 8:30 AM... ...Friday (may be asked to work every other Saturday) Workplace: Remote Preferred Candidate Location: Philippines Scope of Work /...Remote workFull timeContract workFor contractorsWork experience placementLocal areaMonday to Friday
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$28.65 - $35.82 per hour
Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health... ...Acentra Health is looking for a Behavioral Health Clinical Reviewer to join our growing team. Job...Contract workLocal area$85k - $92k
...Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (... ...unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or behavioral health) Strong clinical documentation +... ...) Clinical Quality / Utilization Review / Case Review experience...Remote workHourly payDay shift$25.07 per hour
Overview Maximus is hiring a Clinical Reviewer to support the Illinois SALT... ...for Specialized Mental Health Rehabilitation Facilities (SMHRF... ...and level of care in medical, behavioral health or related programs... ...workspace #ClinicalServices #LI-Remote Maximus is an equal...Remote jobContract workTemporary workWork experience placementWork at officeHome officeMonday to Friday$28.37 - $38 per hour
...Overview Acentra Health exists to empower better... ..., services, and clinical expertise. Our mission... ...looking for a PRN Clinical Reviewer - Substance Use (LPCC,... ...). The role is also remote within the United States... ...Minnesota Board of Behavioral Health and Therapy (BBHT...Remote workContract workReliefWork at officeLocal area$85k - $89k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA... ...with contract requirements for clinical quality management (CQM) to... ...summaries for further review and analysis. Supports activities... ...experience (medical/surgical or behavioral health) Preferred: o...Remote workContract workTemporary workWork at officeLocal area- ...Assoc Patient Access Rep-Behavioral Health Job Ref 2602744 Category Behavioral Health Job Family Remote / Work from Home / Virtual / Hybrid Department Behavioral Medicine Schedule Part-time Facility Behavioral Health Admin 6930 Hillsdale Court Indianapolis, IN...Remote workPart timeWork at officeWork from homeShift work1 day per week
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...HCSC is seeking a qualified Doctor of Psychology (PsyD) or Doctor of Philosophy (PhD) to oversee clinical reviews for applied behavior analysis (ABA) services. The role involves conducting peer-to-peer reviews, consulting on cases, and developing training for the team....Remote workWork from home$90k - $100k
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...A leading clinician-led behavioral health company is seeking a full-time Psychiatric Nurse Practitioner (PMHNP-BC) to join their team in... ...Practitioner and experience in behavioral health. Enjoy a flexible schedule and strong support from the clinical team. #J-18808-Ljbffr...Remote workFull timeWork from homeFlexible hours$125k - $145k
...A leading behavioral health company is seeking a Psychiatric Nurse Practitioner (PMHNP-BC) to join their integrated care team. This role offers competitive pay ($125k - $145k/year), flexible scheduling, and the option to work from home. Candidates should be licensed in...Remote workWork from homeFlexible hours
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