Remote Utilization Review Specialist, Behavioral Health
United Cerebral Palsy of Georgia
United Cerebral Palsy of Georgia is hiring a Utilization Management Specialist in Miami, Florida. The role requires collaboration with Medical Directors to review healthcare services and authorize necessary services. Strong analytical skills are essential. This position is predominantly telephonic, requiring 3-5 years of experience in a relevant setting and specific licenses like LCSW or RN. The job involves some travel to local hospitals and extensive training. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Specialist, Behavioral Health in Doral, FL vacancy
$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 workAdvanced Recovery Systems LLC
New York, NY5 days ago- ...Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-...Remote workFull time
Dove Recovery
Columbus, OH2 days ago $60k - $75k
...hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000... ...must have prior UR & clinical experience. Remote hires and applicants without prior...Remote workFull timeWork at officeQuadrant Health Group
Deerfield Beach, FL2 days ago- ...Voyages Behavioral Health of Conroe is looking for a Utilization Review Coordinator to oversee the review of admissions and stays, working closely with a dedicated treatment team. You will ensure compliance with industry standards and facilitate communication with insurance...Suggested
Voyages Behavioral Health of Conroe
Conroe, TX1 day ago - ...Avenues Recovery in Toms River, New Jersey is seeking a Utilization Review Specialist to ensure timely authorization of client services and... ...a bachelor's degree preferred, alongside experience in behavioral health or healthcare settings. Benefits include medical insurance...SuggestedFull time
Avenues Recovery
Toms River, NJ1 day ago - ...Utilization Review Specialists Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations... ...preferred Experience Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred Experience...Full timeTemporary workWork at officeFlexible hours
Avenues Recovery
Lakewood, NJ2 days ago - ...Overview At Voyages Behavioral Health/ PAM Health, we care for chronically and critically ill patients who require extended hospital... ...Time Responsibilities Under the direction of the Director of Utilization Review, the responsibilities of the Utilization Review...Full timeFlexible hours
PAM Health, LLC
Conroe, TX2 days ago - ...Scope of work: Provides health information, interacts, and acts... ...acute medical and/or behavioral health care services. Assesses... ...care professionals regarding utilization management and quality requirements... .... Medical necessity reviews for designated services are completed...Remote workFull timeMonday to FridayShift workWeekend work
Corewell Health
United States3 days ago - ...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... ...preferred. Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
LifePoint Health
Fort Worth, TX1 day ago - ...Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...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
$65k - $88.6k
...Humana Inc. is seeking a Utilization Management Behavioral Health Professional 2 to support medical services coordination. The role involves interpreting... ...'s degree and clinical experience. The position offers remote flexibility and a salary range from $65,000 to $88,600...Remote workHumana
Columbia, SC2 days ago$65k - $88.6k
...Humana Inc. in Augusta, Maine is seeking a Utilization Management Behavioral Health Professional 2 to coordinate medical services and support care for... ...least one year of clinical experience. The role offers remote work options and competitive pay ranging from $65,000 to...Remote workHumana
Augusta, ME2 days ago$65k - $88.6k
...Humana Inc. in Cheyenne, Wyoming is seeking a Utilization Management Behavioral Health Professional 2 to utilize behavioral health knowledge and support the coordination of medical services. This remote role demands clinical knowledge, decision-making capacity, and effective...Remote workHumana
Cheyenne, WY2 days ago- ...Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid team, focusing on clinical reviews and patient care. Candidates must be transitioning military service members...Remote workInternshipWork at officeWeekday work
Humana
New York, NY1 day ago - ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote workPart time
Providence Health & Service
Mission Hills, CA4 days ago - ...Providence is seeking an experienced RN for Utilization Review to provide essential patient care while working remotely in Irvine, California. This role involves conducting clinical reviews and managing utilization efficiently in a dynamic regulatory environment. The...Remote workDaily paid
Providence Service
Irvine, CA3 days ago $57.28 - $88.92 per hour
...Providence Health Plan Group is seeking an RN for Utilization Review, working full-time in a remote position. The role involves conducting clinical reviews and managing utilization reviews across various health plans in Southern California. Required qualifications...Remote workHourly payFull timeProvidence Health Plan Group
Irvine, CA3 days ago- ...Kelsey-Seybold Clinic is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and assess medical necessity for services requiring... ...experience in utilization review. Flexibility for remote work is provided for Texas residents. Competitive hourly pay...Remote workHourly pay
Crains Cleveland
Pearland, TX3 days ago $75k
...Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing... ...competitive salary of $75,000/year along with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a...Remote workMonday to FridayHealthHelp
Houston, TX2 days ago- ...Memorial Physician Practices is seeking a Utilization Review Specialist in Avondale, AZ. The role involves conducting clinical reviews, analyzing patient admissions, and collaborating with healthcare provider teams. Candidates should have a Bachelor’s degree, a clinical...
Memorial Physician Practices
Avondale, AZ2 days ago - ...Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role involves conducting medical necessity reviews, managing denial processes, and collaborating with healthcare professionals. Candidates...Remote work
Ensemble Health Partners
Seattle, WA1 day ago - ...Springstone, Inc. is seeking a Utilization Review Specialist for a fully on-site role in Olathe, Kansas. This position involves conducting clinical... ..., effective communication skills, and knowledge of mental health terminology. The role offers competitive compensation and...Flexible hours
Springstone
Olathe, KS1 day ago - ...Position for Inpatient and Outpatient (PHP/IOP) Utilization. Your Experience Matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...care to others. As a Utilization Review Specialist joining our team, you're embracing a vital...Relief
LifePoint Health
Fort Worth, TX1 day ago - ...BriteLife Recovery in Englewood, New Jersey, is seeking a Utilization Review Specialist to oversee insurance authorization for clients receiving substance use disorder treatment. This critical role involves collaborating with clinical staff and third-party payers to ensure...
BriteLife Recovery
Englewood, NJ1 day ago - Lifepoint Health is seeking a Utilization Review Specialist at Copper Springs East in Gilbert, AZ. The Specialist will facilitate clinical reviews for admissions, advocate for patients with substance use and mental health issues, and ensure compliance with insurance requirements...
- ...Job Description UR Specialist – Join Camber and Make... ...Impact At Camber Mental Health, we are committed to... ..., high-quality behavioral healthcare. With an Indeed... ...Job Summary The Utilization Review department manages all... ...in office and 3 days remote after successfully completing...Remote workWork at officeMonday to Friday
$57.24k - $62.18k
...Associates! *Must have Mental Health and/or Substance Abuse... ...Holidays Work‑life balance. Remote/hybrid setting (once trained)... ...DESCRIPTION This individual will utilize clinical knowledge and communication... ...decision to a second‑level reviewer. The individual interfaces...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL1 day ago$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... .... POSITION IS REMOTE BUT CANDIDATE MUST RESIDE... ...CANDIDATE WILL BE RN WITH BEHAVIORAL HEALTH AND PHYSICAL... ...Performs a clinical review and assesses care related... ...and appropriate utilization of services Provides...Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Jefferson City, MO8 days ago$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not simply valued – they're invaluable... ...PA) Department Coordinate and execute the review and research functions required to support... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work...Remote workMinimum wageFull timeWork experience placementLocal areaShift workProvidence Health & Service
Oregon, WI2 days ago- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based... ...relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including...Remote workContract workWork from home
Mass Digital Health
Quincy, MA2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist, Behavioral Health. Be the first to apply!
Related searches
- senior program specialist Doral, FL
- order processing specialist Doral, FL
- leave specialist Doral, FL
- promotions specialist Doral, FL
- government information specialist Doral, FL
- infection control specialist Doral, FL
- resolution specialist Doral, FL
- order entry specialist Doral, FL
- delivery specialist Doral, FL
- public health specialist Doral, FL