Remote Behavioral Health Utilization Specialist
$65k - $88.6kCounty of San Juan
- Remote job
Humana Healthy Horizons in Kentucky seeks a remote utilization management behavioral health professional to coordinate, document and communicate decisions about medical services and benefits. The role is remote nationwide and full-time, with a pay range of $65,000 to $88,600 per year. Location: Remote (US). Requisition R-435129. Posted 2026-10-29. Verified open on Humana's official career site (Workday) on Nov 4, 2026 (ET). #J-18808-Ljbffr County of San Juan
- ...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
- ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant... ...optimization, compliance, and high-quality patient care across behavioral health services. #J-18808-LjbffrRemote work
- ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote workFull timeMonday to Friday$90.9k - $129.9k
...Apply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...for this role, rather you will provide utilization review and quality assurance. Your... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hours- ...in monitoring the Mental Health Plan and Drug-Medi-Cal Organized... ...records to ensure proper utilization of treatment resources... ...for clients receiving behavioral health treatment. UR Specialists also interpret, advise... ...The option for hybrid remote work may be available based...Remote workContract workLocal areaTrial periodFlexible hours
- Principles Recovery Center is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, PHP, and IOP programs. The role requires 2+ years of UR experience and fluency with ASAM, LOCUS, and CALOCUS criteria...Remote job
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
- Gainwell Technologies LLC is seeking a licensed behavioral health professional to review prior authorization submissions and perform MMIS data... ...and WI licensure, with CSAC/SAC preferred. It is a 100% remote, full‑time role offering competitive benefits and ongoing professional...Remote jobFull time
- ...Job Description Job Description Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health / Utilization Management Who We Are At Row Partners ,...Remote workFull timeWork at office
$70.47k - $102.47k
...Annually General Job Description As a Behavioral Health Specialist, you will be part of an integrated... ...schedule with opportunities for both remote and on‑site work. Professional Standards... ...and/or substance use disorders. Utilizes evidence‑based treatment models and adhere...Remote workWork at officeFlexible hours- ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...We are seeking an experienced specialist who is passionate about making a... ...preferred. 2-3 years of utilization review experience in behavioral...Remote workDaily paidFull time
$17 - $25.63 per hour
...Behavioral Health SpecialistSalary Range $17.00 - $25.63 HourlySummary: Guides and supports youth... ...and a positive peer community utilizing TBRI strategies.Essential Functions:Engages... ...This role is considered essential with no remote work options. The position is exposed to...Remote workLocal areaDay shiftAfternoon shift- ...Pavilion Behavioral Health System in Champaign, Illinois, is seeking a Full-time Utilization Review Coordinator to ensure accurate chart reviews and to obtain hospital stay certifications from insurers. The role supports behavioral health and addiction treatment across...Full time
$48.78 - $73.17 per hour
...glad you are interested in joining Sutter Health! Organization ABSMC-Alta Bates... ...admission, need for continued stay, and proper utilization of physician, nursing, and ancillary... ...DEPARTMENT REQUIRED EDUCATION ~ Department, Behavioral Health: Master’s in Social Work or...Full timeWork at officeLocal areaMonday to FridayShift workWeekend work$19.5 - $26.48 per hour
Job Description The Behavioral Health Specialist (BHS), under the direction and supervision of the treatment... ..., etc. Expected to lift and utilize full range of movement to transfer patients... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork experience placementImmediate start- ...New Vista Behavioral Health is seeking a detail-oriented Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple behavioral health facilities. Candidates must hold an active clinical license as an...
$22 - $27.14 per hour
Patient Experience Specialist (PES) II-Behavioral Health - Full TimeOur service area includes Delta, Montrose,... ...of our clinics in our service area* Remote work is not available at this time.Position... ...eligibility requirements commonly utilized in nonprofit healthcare settings.Two...Remote workHourly payFull timeContract workSummer workImmediate start- Ampcus Inc. is seeking a Behavioral Health Utilization Management Specialist to perform prospective, concurrent and retrospective reviews for authorization and benefit coverage. The role requires clinical expertise to assess appropriateness of medical and behavioral health...
$75k - $90k
...0 To $90,000.00 Annually This is a remote position based in Salem, Oregon or surrounding... ...passionate about improving access to behavioral health services in the community? Do you... ...; apply evidence-based criteria to utilization management reviews; document clinical...Remote workFull timeContract workWork from home- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary care across... ...5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate...Remote workWork from homeMonday to FridayWeekend work
- ...County of San Juan is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations... ...for medical services and benefits. This is a fully remote position within the United States. The role requires...Remote work
- ...Assesses psychological health using current American Psychological Association Diagnostic... ...in place. Responsibilities Behavioral Health Specialist will serve as a member of the... ...licensed providers. Perform in a remote setting with an anticipated 25% travel...Remote workFor contractorsWork at office
$78.4k - $107.8k
...Become a part of our caring community The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support... ...technical skills to troubleshoot and resolve within a remote environment. ~ Ability to work independently. Preferred...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Centene Corp. is seeking a Utilization Review Clinician - Behavioral Health for a remote role in Georgia. Candidates must hold an active Georgia licensed clinician or compact nursing license and have BH experience. The role runs Monday–Friday 8:00 AM to 5:00 PM with...Remote workMonday to Friday
- ...Centene is seeking a remote Utilization Review Clinician – Behavioral Health to support inpatient and outpatient BH Medicare plans. You will perform medical necessity reviews and authorization determinations to ensure members receive appropriate, high-quality BH services...Remote work
- ...Centene Management Company LLC in Texas seeks a experienced Behavioral Health Utilization Reviewer to evaluate and authorize mental health and substance abuse care. The role requires compliance with regulatory guidance and collaboration with BH teams to ensure appropriate...Remote work
$53.19k - $82.43k
...annual award recognizes hospitals and health systems nationwide that have... ...What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow... ...current and complete. *Approved Remote States: Arizona, California, Colorado...Remote workFull time$20.87 - $27.13 per hour
...This position is an onsite role and does not offer a hybrid or remote option Career Ladder: UCHealth offers a structured... ...maintain a safe and therapeutic environment for patients with behavioral health needs in the inpatient, emergency department or ambulatory setting...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$44k - $49k
...Behavioral Health SpecialistAction Wellness started as ActionAIDS in 1986 when a group of dedicated... ...well-being.The Behavioral Health Specialist provides the full spectrum of case management... ...out of our Kensington office, Hybrid remote after 6 monthsAnnual pay range: $44,000...Remote workWork at office
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