Remote Behavioral Health Utilization Reviewer
Umpqua Health
Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental health and substance use services. This remote role may require on-site travel to Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care management teams to ensure appropriate level of care, adherence to guidelines, and timely quality improvement. Strong clinical knowledge and licensing in BH are essential. #J-18808-Ljbffr
- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services... ...cases to the Medical Director for review. Refer to and work closely with Case... ...note: There may be opportunity for remote work within all jobs posted by the...Remote workContract workWork at office
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote workFor contractorsMonday to FridayFlexible hours
- ...Working fully remote in a full-time capacity, the Utilization Management Physician Reviewer will be responsible for making accurate coverage determinations for inpatient and outpatient services by applying utilization management criteria and clinical judgment while ensuring...Remote workFull time
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The... ...Medicine, preferably with experience in health insurance. This position offers a... ...opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
$174.07k - $374.92k
...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...time. Company: Oak Street Health Location: Remote/ Treehouse Role Description: This full-...Remote workHourly payFull time$87.7k - $157.8k
...on our Medical Management/Health Services team. Centene is... ...flexibility. Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking... ...Reviewers (Applied Behavior Analysis). Candidates must... ...best practice models and utilization management processes Interact...Remote workFull timePart timeWork at officeFlexible hours- ...organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical... .... A comprehensive benefits package including health plans and 401(k) is offered, promoting equality...Remote job
- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. The... ...to practice in the US. This position offers remote work options and competitive compensation packages...Remote jobFull time
$130 - $145 per hour
...’re Oscar. We’re hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology... ...Management. Work Location This is a remote position, open to candidates who reside in the...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...Remote work
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field required...Remote work$86k - $154.7k
...for the Psychologist Reviewer role at RemoteWorker... ...our Medical Management/Health Services team. Centene... ...Centene is hiring a Remote Psychologist – Join Our... ...for improving access to behavioral health care? Centene... ...well as participating in Utilization Management clinical...Remote workFull timeWork at officeRelocation packageFlexible hours- ...Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs... ...Job Details: ~ Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be...Remote workFull timeMonday to FridayDay shift
- ...Program Company Overview Mental Health Resource Center is a not-for-profit... ...a wide range of mental health and behavioral health care services to the... ...Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical...Full timeMonday to FridayFlexible hours
- ...corresponding level of care utilizing evidence-based criteria. Responsibilities... ..., and Case Management. Reviews the appropriateness of... ...Collaborates with family, health care team, payors, and... ...Partners-in-Caring process and the behavioral expectations in all interactions...Contract workWork experience placementFlexible hours
- ...Description Physician Peer Reviewer – Multiple Specialties in Texas... ...Organization (IRO) with Health Utilization Management (HUM) accreditation... ...Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency... ...reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...Performs a clinical review and assesses care related... ...concurrent review of behavioral health (BH) inpatient... ...quality and appropriate utilization of services... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hours$29.29 - $50.38 per hour
...Treatment Plans. Will complete thorough review of each document, provide clinical... ...IATP standards. LPHA reviewer provides behavioral health assessment, intervention, and consultation... ...screening and/or assessment tools and utilization of results in treatment planning....Full timeLocal areaImmediate startRelocationRelocation packageShift work$91.7k - $163.7k
...our team will directly improve health outcomes by connecting people... ...Public Sector or Applied Behavior Analysis which involves applying... ...determinations.Services reviewed may include, but are not limited... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- ...diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health... ...evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have...Remote workFlexible hours
- ...Working remotely on a full-time basis, the State Licensed Utilization Reviewer will perform utilization reviews on workers' compensation treatment referrals, ensuring medical necessity and contributing to effective claims management. Key responsibilities: Utilize clinical...Remote workFull time
- A leading Independent Review Organization is seeking a Board-Certified Physical Medicine and Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and supplemental income. Responsibilities include reviewing medical records...Remote workExtra incomeFlexible hours
$23 - $27 per hour
...Solutions is looking for a Case Reviewer to join our team of... ...While the position is performed remotely Monday through Friday, employees... ...responsible for performing utilization reviews to authorize services... ...Bachelor’s degree in the health or human services and at least...Remote workWork at officeWork from homeMonday to FridayShift work- ...more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN... ...physicians to join their Medicare Utilization Management team as Physician Reviewers. In this remote role, you will... ...We are proud to offer five diverse health plan options as well as a PPO dental...Remote workFull timeWeekend work
$204.76k - $292.52k
...join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our... ...and attending daily calls with health plan teams and our local teams assisting... ...Contingent Worker please see job aid HERE to apply #LI-RemoteRemote workHourly payFull timeReliefWork at officeLocal area- Enlyte is seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers’ compensation related prospective, concurrent, and retrospective treatment referrals. The role requires clinical judgment to ensure...Remote workWork from home
- ...Job Description Summary The Behavioral Technician will provide clinical skills instruction... ...client care in 1:1 and group settings utilizing a combination of intensive teaching and... ...to all employees of Constellation Health Services: All employees will: Exercise...Remote workWork from home
- ...Why Comagine Health? Comagine Health is a national... ...health outcomes. Our remote workforce collaborates... ...care systems. Applied Behavior Analysis (ABA)... ...Authorization (PA) program reviewing ABA therapy services.... ..., Medicaid policy, or utilization management preferred...Remote workRelief
- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
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