Remote Behavioral Health Utilization Review Clinician
Centene Corporation
Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels of care.
It requires licensure (LCSW/LMHC/ LPC/LMFT/LMHP or RN) and relevant behavioral health credentials. Strong communication with providers, leadership, and health plans is essential, with opportunities to educate teams and
#J-18808-Ljbffr- ...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
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
- Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote job
- 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
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental... ...leadership to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a...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- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use... ...and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and...Remote jobFull timeDay shift
$27.02 - $48.55 per hour
...Performs a clinical review and assesses care... ...to mental health and substance abuse... ...DETAILS: This fully remote role with "... ...In Care" supports utilization management and quality... ...independent behavioral health social work... ...behavioral health clinicians required. Clinical...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for... ...coordination of care across providers. The position offers remote flexibility with a 8am-5pm schedule on days (Tuesday-...Remote jobWeekend work
- ...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
$64k - $95k
...Valley Hope in Overland Park/Leawood, KS is seeking a full-time Utilization Review Clinician. This role can be performed remotely by candidates in Valley Hope locations. You will review and coordinate clinical utilization, determine admission appropriateness, report...Remote workFull time- Cambia Health Solutions is seeking a Behavioral Health Utilization Management Clinician to work from home within Oregon, Washington, Idaho or Utah. The role focuses on applying... ...through their health journeys. You will review cases, collaborate with physicians and other...Remote jobWork from home
- ...Spectraforce Technologies, Inc. is seeking a Utilization Review Clinician - ABA to manage a large caseload, conduct monthly outreach, and coordinate... ...and CRM systems. Required BCBA certification and Licensed Behavior Analyst credentials, plus 2–4 years of related experience....Remote work
- ...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
- Centene Management Company LLC is seeking a remote clinical reviewer focused on mental health and substance use care to support the California Market, with a schedule of Monday through Friday, 9:00-18:00 or 9:30-18:00 Pacific Time, and occasional overtime. Applicants from...Remote jobMonday to Friday
- ...Title: Utilization Review Clinician - ABA Duration: 3 Months - Contract-to-Hire Location: Remote - GA Mon-Fri | 8A-5P EST Position Summary... ...to support positive health and care outcomes. Participate... ...: BCBA - Board Certified Behavior Analyst Preferred:...Remote workContract work
- Lucet is seeking an Utilization Management Clinician to review initial and concurrent authorizations, coordinating behavioral health care with our provider network and ensuring medical necessity... ...skills. This position is remote with company-provided equipment and requires...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
$54.1k - $142.58k
We’re building a world of health around every individual — shaping a more... ...and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential... ...differential included What You'll Do Review preauthorization requests for...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- ...Optum is seeking a remote Behavioral Health Utilization Review Specialist to support case management and care coordination. This full-time, Monday–Friday role offers standard business hours with occasional on-call needs based on business requirement. The position requires...Remote workFull timeMonday to Friday
$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
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