Remote Clinical Utilization Specialist - Behavioral Health
$77.65k - $98.39kDetroit Wayne Integrated Health Network
The Detroit Wayne Integrated Health Network is seeking a Clinical Specialist for Utilization Management. This full-time position includes responsibilities for managing and reviewing services for consumers, ensuring an integrated approach to care delivery. Ideal candidates will have a Master’s Degree in a relevant field and at least four years of professional experience. The role offers a competitive salary range of $77,652 to $98,385 annually. Currently, this position is primarily remote, with occasional site visits required. #J-18808-Ljbffr
- ...The Detroit Wayne Mental Health Authority is seeking a Clinical Specialist to provide utilization management services. This role involves... ...with four years of experience in behavioral healthcare. The position offers flexibility with remote work possibilities under...Remote work
$68.23k - $86.99k
...UM Clinical Specialist-Behavioral Health (Full-time Remote, North Carolina Based) Posted on May 8, 2026 Location: Remote in North Carolina, USA The UM Clinical... ...professional and administrative work, primarily utilization reviews, utilization management and active care...Remote workFull timeWork at officeFlexible hours- ...supervision of the Director of Utilization Management for the Detroit Wayne Integrated Health Network (DWIHN), Clinical Specialists - Utilization Management... ...of medical and behavioral health care by increasing... ...This position can work remotely with supervisory approval...Remote workTemporary workWork at office
- ...Haemonetics Software Solutions is hiring a Clinical Advisor/Specialist to drive the utilization of the TEG product line. This role involves extensive travel within the DC and Fairfax area, requiring strong clinical education skills and experience in critical care environments...Remote work
- ...across their lifetime.As a Behavioral Intervention Specialist (BIS) you will be... ...includes both onsite and remote responsibilities.Opportunities... ...in a unique and rewarding clinical environment encouraged to... ...receive appropriate mental health care and act as a resource...Remote workFull timePart timeFlexible hoursAfternoon shift
- ...AptiHealth, Inc. is looking for a Clinical Support Specialist to enhance the delivery of behavioral healthcare. You will coordinate with therapists, manage patient... ...healthcare settings. Comprehensive benefits and a supportive team await in this remote role. #J-18808-Ljbffr...Remote work
- ...MediTelecare is hiring a Clinical Support Specialist to provide onsite facilitation and remote admin duties. This role involves assisting patients with behavioral health visits and supporting clinicians to ensure smooth visits. Candidates should have a high school diploma...Remote workWork at office
- ...aptihealth is seeking a full-time Clinical Support Specialist to support the delivery of high-quality behavioral health care while helping manage key responsibilities in a remote setting. You will work closely with Mental Health Therapists and interdisciplinary care teams...Remote workFull time
- ...tango is a leader in the home health management industry and is... ...currently looking for a UM Clinical Support Specialist to join our growing team!... ...supporting the leadership of the Utilization Management team by... ...Suite 700, Phoenix, AZ 85020 Remote Essential Functions Works independently...Remote workFull timeWork at officeLocal areaWork from home
- ...On Demand in Austintown, Ohio is hiring a Clinical Audit Specialist to support behavioral health payer audit and denial management. This role requires strong clinical documentation skills, knowledge of ASAM Criteria, and experience with Medicaid and Medicare. The ideal...Remote workImmediate startFlexible hours
- ...Harris Health System, Inc. is looking for a Behavioral Health Utilization Manager to perform concurrent reviews on patients and coordinate care for medically complex... ...experience, and the role can be performed remotely, offering flexibility in work schedules. #J-1880...Remote work
- ...Blue Shield of California is hiring a Senior Behavioral Health Utilization Management Clinician in California. This position involves conducting utilization reviews and ensuring appropriate determination for members based on established guidelines. The ideal candidate...Remote workWork at office
- ...Job Description Job Description Behavioral Health Clinical Specialist (DOC) Location: Washington, DC – D.C. Department of Corrections Organization... ...models and interventions Co-lead therapeutic groups utilizing models such as CBT, DBT, TREM, IMR, WRAP, TAMAR, and...Full timeWeekend workWeekday work
- ...Job Description Job Description Behavioral Health Clinical Specialist (DOC) Location: Washington, DC – D.C. Department of Corrections Organization... ...and treatment models Co-lead therapeutic groups utilizing evidence-based modalities such as CBT, DBT, TREM, IMR,...Full timeFlexible hoursWeekday work
$22 - $28 per hour
...aptihealth is a fast-growing health tech company transforming behavioral healthcare. Our... ...Your Role As a Clinical Support Specialist , you will play a vital... ...supporting therapist utilization goals, patient safety,... ...maintain accountability in a remote work environment...Remote workHourly payFull timeWork from homeMonday to Friday- Join WellSense Health Plan as an ABA Behavioral Health Utilization Manager, playing a crucial role in the delivery of mental health services. This remote position focuses on evaluating behavioral health... ...service requests and ensuring clinical quality and compliance. The...Remote job
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National... ...health services while applying clinical judgment and collaboration with healthcare... ...RN license. This position supports remote work, providing work-life balance...Remote jobInternship
$69.5k - $100.5k
WellSense Health Plan is looking for a Behavioral Health Utilization Manager in Boston, MA. This full-time remote role involves ensuring appropriate delivery of mental health and substance... ...use services while making critical clinical decisions. The ideal candidate will...Remote workFull time$69.5k - $100.5k
Wellsense-Health-Plan is seeking a Behavioral Health Utilization Manager to ensure effective delivery of mental health and substance use disorder services. This... ...or New Hampshire. The position offers full-time remote work with a competitive salary range of $69,500 - $1...Remote jobFull time$33.41 - $48.56 per hour
WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure effective delivery of mental health and substance... ...outpatient cases, and collaborating with clinical teams. This position offers a primarily remote environment with occasional in-person...Remote jobHourly pay- Highmark Health in Denver is seeking a Product Manager for Behavioral Health & Wellness to shape our product vision within the Utilization Management function. This role involves developing execution... .... With options for hybrid or remote work, you will need to communicate...Remote work
- WellSense Health Plan is looking for a Behavioral Health Utilization Manager to manage mental health and substance use disorder services effectively. This remote role requires strong clinical judgment and a minimum of 5-7 years in behavioral health within a health insurance...Remote job
$69.5k - $100.5k
WellSense Health Plan is searching for an ABA Behavioral Health Utilization Manager to ensure the effective delivery of mental health... ...outpatient cases, requiring clinical expertise and critical thinking... ...The position offers full-time remote work with potential travel...Remote jobFull time- Humana is looking for a Utilization Management Behavioral Health Registered Nurse (RN) Intern to support the National... ...team. The role includes conducting clinical reviews, coordinating with... ...health experience. The position allows remote work and offers a weekday schedule....Remote jobInternshipWeekday work
$33.41 - $48.56 per hour
WellSense Health Plan in Boston is seeking a Behavioral Health Utilization Manager to oversee mental health services and ensure... ...service requests, utilizing advanced clinical judgment and critical thinking.... ...This position offers full-time remote work with a competitive salary...Remote jobHourly payFull time$69.5k - $100.5k
Wellsense-Health-Plan is seeking an ABA Behavioral Health Utilization Manager to deliver effective mental health and substance use... ...disorder services while ensuring clinical quality and compliance. This full-time position offers remote work and competitive salary...Remote jobFull time$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred... ...combination of experience and education) ~2 years of clinical experience, preferably in hospital nursing, utilization...Remote workHourly payPermanent employmentTemporary workWork at office- Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship... ...or military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote jobInternship
- ...Quality Management, the Clinical Specialist Performance... ...psychiatric evaluations, Behavior Management Plans, records... .... Knowledge of Utilization Management. Knowledge... ...provision of mental health, developmental disability... ...position can work remotely with supervisory...Remote workWork at officeLocal area
- Highmark Health is seeking a Product Manager for Behavioral Health & Wellness to shape the value of our products within the Utilization Management function. You will develop product vision and execution... .... The role may be hybrid or remote, with an in-office requirement of...Remote workWork at office3 days per week
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