Remote Behavioral Health Utilization Review Clinician
IntelliResume
- Remote job
Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven care improvement. Requirements include a nursing or related degree, a Master\'s in behavioral health, and 2–4 years of relevant experience with licensure options such as LCSW/LMHC/LPC/LMFT/LMHP or RN. #J-18808-Ljbffr IntelliResume
- ...Centene Corp. is seeking a Utilization Review Clinician - Behavioral Health for a remote role focused on clinical reviews and prior authorization of mental health and substance use services. The role emphasizes ensuring appropriate levels of care and educating providers...Remote work
- ...Centene Corporation is seeking a Behavioral Health Utilization Review clinician to evaluate and authorize BH services, ensure appropriate levels of care, and collaborate with providers and medical leadership. This role emphasizes quality improvement, case presentations...Remote work
- ...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
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
- Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote job
$27.02 - $48.55 per hour
...Utilization Review Clinician - Behavioral Health page is loaded## Utilization Review Clinician - Behavioral Healthlocations: Remote-TXtime type: Full timeposted on: Posted Todayjob requisition id: 1663248**Position Purpose:** Performs a clinical review and assesses care...Remote workHourly payFull timePart timeWork at officeFlexible hours$27.02 - $48.55 per hour
...Performs a clinical review and assesses care... ...to mental health and substance abuse... ...concurrent review of behavioral health (BH)... ...and appropriate utilization of services Provides... ...behavioral health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timePart timeWork at officeFlexible hours- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use... ...and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and...Remote jobFull timeDay shift
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity, conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals...Remote workWork from home
$27.02 - $48.55 per hour
About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse... ...levels and services are medically appropriate. This fully remote position is ideal for those with experience in...Remote workFull timeWork at officeFlexible hoursDay shift- ...Centene Corporation seeks a remote Behavioral Health reviewer to support the Texas Ambetter Inpatient Behavioral Health population. The role requires 4 x 10-hour shifts weekly with Saturday availability; weekend differential is offered. You will evaluate care, perform...Remote workShift workWeekend work
- ...seeking a qualified professional to review member care and health status related to ABA services. The... ...for BH, analysis of data to improve utilization, and coordination with providers to... ...depending on state, with education in behavioral health. #J-18808-Ljbffr Centene Management...Remote job
- Centene Management Company LLC is seeking a remote clinical reviewer focused on mental health and substance use care to support the California Market, with a schedule of Monday through Friday, 9:00-18:00 or 9:30-18:00 Pacific Time, and occasional overtime. Applicants from...Remote jobMonday to Friday
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
$36.8 - $49.8 per hour
Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference... ...prospective concurrent and retrospective review) to best meet the member’s... ...data protection and integrity. #LI-Remote Pay ranges vary based on the candidate...Remote workWork at officeImmediate startWork from homeFlexible hours- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete... ...support medical necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
- ...Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and appropriateness of behavioral health services. You will review clinical... ...documentation, perform utilization reviews, and document... ...youth, and adults. This remote, Oregon-based role...Remote work
$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- 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
- ...NOXNOX is seeking an Assessment & Utilization Review (UR) Clinician in Ohio to conduct comprehensive behavioral health and substance use disorder intake assessments. The role coordinates insurance authorizations to ensure appropriate level of care and medical necessity...
- Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. You will collaborate with...Remote jobMonday to Friday
- ...Behavioral Health Utilization Reviewer The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral health service requests, claims, and appeals to confirm medical necessity and appropriateness of care. The reviewer applies...Remote workWork at office
$24 - $26 per hour
...Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage... ...adolescent and adult mental health, substance use, and co-... ...treatment . Required: 2+ years of behavioral health UR/authorization... ...to work independently in a remote setting. Eligibility for DCF...Remote workFull timeMonday to Friday- 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 jobWork from home
- ...Experience in both medical and behavioral health and/or substance use... ...~ Work-life balance. ~ Remote setting ROLE DESCRIPTION... ...: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- 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
- Centene Corporation is seeking a remote Behavioral Health RN reviewer to assess care related to mental health and substance use disorders. You will participate in weekend/holiday rotations and must hold an RN license active in Washington or a compact state. You will evaluate...Remote jobWeekend work
- 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 job
- Premera is seeking a Telecommuter Utilization Review Clinician to evaluate clinical requests and determine medical necessity across inpatient, outpatient, and out-of-network scenarios. You will collaborate with Medical Directors and Care teams to ensure cost-effective,...Remote job
- ...AmeriHealth Caritas is seeking a BHUM Reviewer to conduct medical necessity... ...clinical knowledge in mental health and substance use to support appropriate... ...work credentials, experience in utilization management, and the ability to work remotely within the US; remote options...Remote workWeekday work
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