Remote Behavioral Health Utilization Review Clinician
CVS Health
CVS Health is hiring a Behavioral Health Precertification/ Utilization Management Clinician to work remotely with a consistent weekday schedule. The role focuses on reviewing behavioral health authorization requests and ensuring appropriate levels of care using evidence-based guidelines, with an emphasis on inpatient BH and substance use programs. The position requires a licensed Master's-level BH professional in the state of residence and 1+ year of Utilization Management experience, plus ~3+
#J-18808-LjbffrVacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Clinician in Central City, KY vacancy
- Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess care levels, and authorize mental health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC...Remote workDay shift
Centene Corporation
New York, NY2 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, OR1 day ago - Centene Corporation is seeking a remote Behavioral Health/Utilization Review professional to support the California Market. The role requires nursing or bachelor’s degree with 2–4 years of related experience and appropriate behavioral health licensure. The position offers...Remote workFull time
Centene Corporation
California City, CA5 days ago $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... ...health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Baton Rouge, LA1 day ago- ...Centene Corporation seeks a Clinical Review professional to assess mental health and substance use care, evaluating treatment... ...requires licensure and a master's in behavioral health for clinicians; opportunities include remote or hybrid schedules and a comprehensive...Remote work
Centene Corporation
Cheyenne, WY5 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$49.42k - $107.1k
...compact 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 workFull timeWork at officeHome officeMonday to Friday- ...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
State of Arizona
New York, NY6 hours ago - ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant... ..., compliance, and high-quality patient care across behavioral health services. #J-18808-LjbffrRemote work
The Florida House
New York, NY4 days 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 - ...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 workWork from home
Comagine Health
Oregon, WI3 days ago - ...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
Salem, OR3 days ago - ...At Health New England, we're committed to ensuring our members... ...appropriate, and compassionate behavioral health services. As a Behavioral Health Utilization Management Reviewer, you'll play a vital role in... ...– this position is fully remote. Candidate must hold professional...Remote workHourly pay
Baystate Health
New York, NY4 days ago $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...Remote workFull timeMonday to FridayPrinciples Recovery Center
United States4 days ago$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 role in... ...expect in this role ~100% Remote home office. ~ Full-time position...Remote workFull timeWork experience placementHome officeFlexible hours- ...One of the largest health benefits companies in the... ...benefits, dental, vision, behavioral health benefit... ...authorization and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable medical... ...Additional Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
HealthCare Support
New York, NY2 days ago - ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess treatment plans and... ...intensity settings. The role is full-time and remote with occasional local travel within the Kent...Remote workFull timeLocal area
Kent County CMH Authority
Grand Rapids, MI4 days ago - ...Experience in both medical and behavioral health and/or substance use disorder... ...Paid HolidaysWork-life balance.Remote settingRole Description:This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeMonday to FridayFlexible hours
Hines
Rockford, IL2 days ago - ...monitoring the Mental Health Plan and Drug-Medi-Cal... ...System (DMC-ODS), including review of medical records to ensure proper utilization of treatment resources... ...for clients receiving behavioral health treatment. UR... ...The option for hybrid remote work may be available based...Remote workContract workLocal areaTrial periodFlexible hours
santacruzcountyca.gov
Santa Cruz, CA3 days ago - ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the... ...necessary with other members of the health care team to ensure the above... ...beneficiary's member's health care for behavioral health care management....Remote workFull time
CHRISTUS Health
Alamogordo, NM5 days ago $95k - $107.5k
...-time Description Title: Nurse Reviewer, Utilization Management Job Type: Full-time... ...per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us... ...case management, care coordination, or behavioral health support. Key Responsibilities Medical...Remote workFull timeLocal areaBrighton Marine Health Center
Brighton, MA5 days ago- ...To support a growing behavioral health team, the full-time Licensed Behavioral Health Clinician will perform utilization management reviews, ensuring adherence to medical necessity and policy standards while working remotely within Oregon, Washington, Idaho, or Utah. Key...Remote workFull time
Virtual Vocations Inc
United States5 days ago - ...Behavioral Health Clinician This position involves managing and evaluating behavioral health conditions remotely within the tri-state area. It requires reviewing medical records, interacting with providers,... ...setting. Behavioral health utilization management experience...Remote work
Mitchell Martin
United States4 days ago - ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility case manager, discharge planner and contracted providers to ensure appropriate, cost-effective care at the...Remote work
Alignment Health
New York, NY4 days ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
IntePros
Phoenix, AZ3 days ago - ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
CCF
New York, NY5 days ago - ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
IntePros
New York, NY3 days ago - ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote workFlexible hours
kozmetickesluzby.vecnakraska.sk - Jobboard
Caribou, ME1 day ago - ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...Remote work
Cincinnati Children's Hospital
Cincinnati, OH1 day ago - ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will guide patients through the continuum of care, coordinating with physicians, case managers and service providers to ensure safe, cost-effective care aligned with...Remote work
Alignment Health
Austin, TX5 days ago
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
- licensed mental health clinician Central City, KY
- mental health clinician Central City, KY
- school based clinician Central City, KY
- clinician Central City, KY
- remote work Central City, KY
- medical review nurse remote Central City, KY
- customer service representative (remote from home) Central City, KY
- companies hiring remote Central City, KY
- remote travel writer Central City, KY
- on-site clinical research associate (traveling/remote) Central City, KY