Remote Behavioral Health Utilization Review Clinician
Centene Corporation
- Remote job
Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental health and substance use care, performs prior authorization and concurrent reviews, and collaborates with providers and medical leadership to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a nursing or related degree with 2-4 years of experience and a master’s degree in behavioral health. #J-18808-Ljbffr Centene Corporation
- ...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 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 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 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 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
$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 Friday- 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 shift- ...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
- ...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
- ...Valley Hope Addiction Treatment & Recovery is seeking an Utilization Review Clinician for a full-time, remote-capable role. The position supports review and coordination of clinical utilization and payer expectations for patient admissions with external payment options...Remote workFull time
- ...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
$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 Friday- ...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
$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 hours- ...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
- ...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
$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$54.1k - $142.58k
...We’re building a world of health around every individual — shaping a... ...and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential... ...included What You'll Do Review preauthorization requests for...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- ...NOXNOX is seeking an Assessment & Utilization Review (UR) Clinician in Ohio to conduct comprehensive behavioral health and substance use disorder intake assessments. The role coordinates insurance authorizations to ensure appropriate level of care and medical necessity...
- 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 jobWork from home
- ...Experience in both medical and behavioral health and/or substance use... ...~ Work-life balance. ~ Remote setting ROLE DESCRIPTION... ...: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify PQIs, and support... ...clinical experience in med/surg or behavioral health, and be eligible for DoD background...Remote workDay shift
- ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and...Remote work
- Centene Corporation is seeking a remote Behavioral Health RN reviewer to assess care related to mental health and substance use disorders. You will participate in weekend/holiday rotations and must hold an RN license active in Washington or a compact state. You will evaluate...Remote jobWeekend work
- Premera is seeking a Telecommuter Utilization Review Clinician to evaluate clinical requests and determine medical necessity across inpatient, outpatient, and out-of-network scenarios. You will collaborate with Medical Directors and Care teams to ensure cost-effective,...Remote job
$64k - $95k
...full-time opportunity for an Utilization Review Clinician to join our team. This position can be performed remotely by candidates residing in... ...employment. Three years of behavioral healthcare clinical... ...clinical resource person for the health care team when determining...Remote workFull timeContract workWork at office$2,038 per week
...currently looking for a Registered Nurse - Utilization Review for a Travel contract. Job Details... ...literate; experience working remote; degree accreditation verification or... ...partners with hospitals, surgical centers, behavioral health facilities, schools, correctional...Remote workPermanent employmentContract workZero hours contractReliefLocal areaShift workRotating shift- ...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
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