Remote Behavioral Health Utilization Review Clinician
Centene Corporation
Lincoln, NE
- Remote job
Centene Corporation seeks a Behavioral Health Utilization Review professional to perform clinical reviews and assess the appropriateness of mental health and substance use services. This fully remote role supports Ambetter / Marketplace, reviewing requests for inpatient, residential treatment, and partial hospitalization. Schedule is Mon–Fri, 8–5 in Eastern or Central time. Ideal candidates have nursing/advanced degrees and 2–4 years in utilization management, with BH credentials preferred. #J-18808-Ljbffr Centene Corporation
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Clinician in Lincoln, NE vacancy
- ...Centene Corporation seeks a Behavioral Health Utilization Review professional to perform clinical reviews and assess the appropriateness of mental health and substance use services. This fully remote role supports Ambetter / Marketplace, reviewing requests for inpatient...Remote work
Centene Corporation
United States1 day ago - ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
Centene Corporation
United States5 days ago - ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing authorization requests and inpatient cases across various settings. The role emphasizes collaboration with providers, medical...Remote work
Centene Corporation
Brooklyn, NY4 days ago - ...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...Remote work
Centene Corporation
California, MO5 days ago - ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a nationwide...Remote workFull timeDay shift
Centene Corporation
Salem, OR16 hours ago - ...Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels...Remote work
Centene Corporation
Wakeeney, KS46 minutes ago $27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related...Remote workHourly payFull timeMonday to FridayCentene Corporation
Eastern, KY5 days ago- 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
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental... ...leadership to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a...Remote job
- 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 job
$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... ...and services are medically appropriate. This fully remote position is ideal for those with experience in...Remote workFull timeWork at officeFlexible hoursDay shiftIntelliResume
California, MO5 days ago- 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
- 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 jobWeekend work
- ...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
Comagine.org
United States2 days ago - ...Centene Corporation offers a fully remote role focused on reviewing behavioral health authorizations for inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm Eastern or Central, with preference for candidates in...Remote workMonday to Friday
Centene Corporation
United States2 days ago $64k - $95k
...Valley Hope in Overland Park/Leawood, KS is seeking a full-time Utilization Review Clinician. This role can be performed remotely by candidates in Valley Hope locations. You will review and coordinate clinical utilization, determine admission appropriateness, report...Remote workFull timeValley-Hope-Addiction-Treatment-and-Recovery-1
Leawood, KS47 minutes ago- Cambia Health Solutions is seeking a Behavioral Health Utilization Management Clinician to work from home within Oregon, Washington, Idaho or Utah. The role focuses on applying... ...through their health journeys. You will review cases, collaborate with physicians and other...Remote jobWork from home
- ...Spectraforce Technologies, Inc. is seeking a Utilization Review Clinician - ABA to manage a large caseload, conduct monthly outreach, and coordinate... ...and CRM systems. Required BCBA certification and Licensed Behavior Analyst credentials, plus 2–4 years of related experience....Remote work
Spectraforce Technologies, Inc.
Raleigh, NC47 minutes ago - ...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
- Lucet is seeking an Utilization Management Clinician to review initial and concurrent authorizations, coordinating behavioral health care with our provider network and ensuring medical necessity... ...skills. This position is remote with company-provided equipment and requires...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
$26.41 - $51.49 per hour
...complact license. The Care Review Clinician will provide prior authorization for behavioral health services for the OH Medicaid... ...or previous experience with Utilization Reviews. WORK SCHEDULE:... ...work schedule. This is a remote position. Home office with internet...Remote workHourly payWork experience placementWork at officeHome officeMonday to FridayMolina Healthcare
Columbus, OH2 days ago- ...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
Recovery Unplugged
United States4 days ago $71.14k - $115.86k
...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference... ...concurrent and retrospective review) to best meet the member’s specific... ...data protection and integrity. #LI-Remote Pay ranges vary based on the...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours$27.02 - $48.55 per hour
...Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services... ...: This is a remote position, but applicants... ...quality and appropriate utilization of services... ...for behavioral health clinicians required. Behavioral...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hoursCentene Corporation
Florida11 hours ago- ...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
Virtual Vocations Inc
United States1 day ago $54.1k - $142.58k
We’re building a world of health around every individual — shaping a more... ...and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential... ...differential included What You'll Do Review preauthorization requests for...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- ...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
Comagine Health
United States4 days ago $54.1k - $116.76k
...We’re building a world of health around every individual — shaping... ...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM –... ...and play a critical role in reviewing behavioral health...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday 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
- outpatient clinician Lincoln, NE
- mental health clinician Lincoln, NE
- intake clinician Lincoln, NE
- crisis clinician Lincoln, NE
- school based clinician Lincoln, NE
- bilingual clinician Lincoln, NE
- clinician Lincoln, NE
- licensed mental health clinician Lincoln, NE
- c++ remote Lincoln, NE
- senior devops engineer remote Lincoln, NE