Remote Behavioral Health Utilization Manager
Well Sense Health Plan
WellSense Health Plan, a Massachusetts-based nonprofit health insurer, is seeking a Behavioral Health Utilization Manager. This role requires clinical judgment to assess outpatient behavioral health services and ensure timely, appropriate care while complying with standards. The role supports remote work, offers competitive pay, and excellent benefits. Candidates should bring licensure in MA/NH and 5–7 years in health insurance with behavioral health focus. #J-18808-Ljbffr
- ...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
- ...Community Health Choice is seeking a Behavioral Health Utilization Manager with nursing credentials to conduct concurrent and discharge reviews using established... ...experience in psychiatric/managed care settings, with remote work arrangements and strong clinical decision-...Remote work
$58.82k - $98.03k
...is full of possibilities. At Banner Health, we’re excited about what the... ...experience and skills to BPN. As a Behavioral Health Utilization Care Manager , you will review prior... ...Your work location will be entirely remote . This position does require Arizona...Remote workFull timeWork experience placementWork at officeLocal areaImmediate startMonday to FridayShift work- Banner Health seeks a Behavioral Health Utilization Care Manager to review prior authorizations for outpatient behavioral health services, ensure medical necessity, and align with clinical guidelines and plan requirements. The role collaborates with providers and interdisciplinary...Remote job
- ...Humana, Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for a remote role in Oklahoma. You will coordinate and document medical service determinations, interpret criteria, and communicate with providers and members to ensure appropriate...Remote work
$75.3k - $135.4k
...Position Purpose: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate... ...to-day activities of BH utilization management team. Key Details: Are you a BCBA... ...field you know? Centene is seeking a remote Supervisor, Behavioral Health...Remote workFull timePart timeWork at officeFlexible hours- ...Centene Corporation seeks a Psychiatrist to serve as Behavioral Health Medical Director in a fully remote capacity across the United States. You will guide medical management, utilization, quality improvement, and credentialing, collaborating with multidisciplinary teams...Remote work
- ...Centene Corp. is seeking a remote Supervisor of Behavioral Health Utilization Management to lead a PIC ABA team of certified BCBAs. The role involves guiding clinicians, ensuring compliant utilization review, and collaborating with providers and health plan partners...Remote work
$75.2k - $112.8k
...Overview Behavioral Health Provider Quality Manager - Northern California. This role focuses on leading Behavioral... ...Analyze provider reports on cost, utilization, and outcomes, and present data to... ...meetings in person or via remote methods. Minimum Requirements MA/MS...Remote workLocal area$55k - $75k
...About Protocol Behavioral Health Protocol provides cancer-specific behavioral... ...the Behavioral Health Care Manager (BHCM) is responsible for... ...training required by Protocol. ~ Utilize between-session messaging as... .... Employees benefit from remote work, competitive healthcare...Remote workFull timeFlexible hours- ...To support the Behavioral Health Medication Monitoring team, the full-time... ...Licensed Behavioral Health Manager will manage day-to-day operations... ...discharge planning in a remote setting. Key responsibilities... ...years of case management or utilization management experience...Remote workFull time
- ...DescriptionJob Description:\n\nJob Title: Behavioral Health Care Manager (Complex Care Manager) Employee... ...(office, practice sites, and remote) Compensation: commensurate with licensure... ...close gaps in care, reduce avoidable utilization, and improve outcomes for patients...Remote workFull timeWork at office
- ...Manages clinical programs in behavioral health utilization management, supporting care coordination and appropriate healthcare services. The posting does not provide specific role duties or qualifications; compensation details are disclosed during the interview process...
- ...Primary Work Location : Remote (Oregon Headquarters). This... ...Washington. Department: Health Plan Operations FLSA Status... ...Exempt (Salaried) Division: Utilization Management Physical Strength: Light... ...related field, such as Behavioral Health, Healthcare Administration...Remote workContract workFor contractorsCasual workWork at officeLocal areaFlexible hours
- ...Chapter 13 Trustee Middle District of Alabama is seeking a professional to manage behavioral health utilization management programs, supporting effective care coordination and improved member outcomes. The role focuses on overseeing UM initiatives and coordinating clinical...
$74.8k - $112.2k
...Overview Behavioral Health Case Mgr - CT08IE We’re determined to make a difference... ...clinical information and utilizes established clinical... ...present in claimants being managed. Leverages resources such as... ...This role can have a Hybrid or Remote work arrangement. Candidates...Remote workTemporary workWork at office3 days per week- ...Behavioral Health Care ManagerJoin the dynamic journey at Vynca, where we... ...exceptional Clinical Lead Care Manager (CLCM) to join our Enhanced... ....Hybrid (in-person and remote) care management duties as described... ...(e.g. PCP, etc.)Utilize evidence-based practices, such...Remote workLocal areaMonday to FridayShift workAfternoon shift
- ...the job We're seeking an exceptional Behavioral Health Case Manager (internal title: Clinical Lead Care Manager... ...as soon as possible. What you’ll do Remote care management duties as described... ...care professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as...Remote workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift
$80k - $95k
...of operations at a growing outpatient behavioral health practice where your leadership will make... .... Enjoy Friday afternoons working remotely, with additional flexibility possible... ...experience and 1+ year of direct staff management experience. Experience in behavioral...Remote workMonday to Friday$67.3k - $85k
Company Overview Acentra Health exists to empower better... ...Health is looking for a Case Manager of Behavioral Health (HRSN) to join our growing... .... *This position is remote. However, applicants must reside... ...the continuum of care. Utilize clinical knowledge and competence...Remote workContract workWork at officeLocal area$89.17k - $142.68k
...Job Description The Sr. Behavioral Health Program Manager State Health Plan (SHP) owns the SHP Behavioral... ...BH) program portfolio including BH Utilization Management Case Management Care... ...giving you flexibility to work remotely with intentional in-person connection...Remote workFull timeWork at officeLocal areaFlexible hours2 days per week$60.52k - $129.62k
...We're building a world of health around every individual - shaping a more... ...in everything we do. Clinical Case Manager - Behavioral Health (Licensed) 100% Remote | Work from Anywhere in the U.S. |... ...to care, and complex health needs Utilize Motivational Interviewing techniques...Remote workHourly payFull timeTemporary workLocal areaMonday to Friday$60.52k - $129.62k
...Clinical Case Manager – Behavioral Health (Licensed) We’re building a world of health around every individual... ...to care, and complex health needs Utilize Motivational Interviewing techniques... ...teams Why Join Us? Fully remote position available anywhere in the United...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to Friday- ...A prominent healthcare technology company is seeking a Behavioral Health Care Manager to provide vital mental health support for patients and their... ...active LCSW licensure and experience in care management. This remote-first position offers competitive compensation and...Remote work
$231.9k
...Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral Medical... ...clinical professional on our Medical Management/Health Services team. Centene is a... ...Provides medical leadership of all for utilization management, cost containment, and associated...Remote workFull timeWork at officeFlexible hoursWeekend work$258k - $323k
...Join to apply for the Behavioral Medical Director - Remote role at Optum 1 day ago Be among the first... ...with our team will directly improve health outcomes by connecting people... ...oversight to and direction of the Utilization Management Program and performing peer reviews...Remote workMinimum wageFull timeWork experience placementLocal area- ...Triplemoon is hiring Behavioral Health Care Managers to provide direct, patient-facing care to children, teens and families within a collaborative care model. This is a fully remote role with a focus on structured, evidence-based care and measurable outcomes. You will...Remote work
$49.92k - $54.08k
...primary caregiver of a loved one with a behavioral health challenge. MCF provides equipment,... ...Federal funding. Collaborate with the Manager for Grants & Community Partnerships to... ...achieve established outcomes. Effectively utilize technology, including databases, and...Remote workFull timeContract workSummer workWork at officeWork from home- ...Ladders is seeking a Behavioral Health Medical Director to provide medical leadership for utilization management and quality initiatives within a leading Hospitals & Medical Centers space. This remote role partners with clinical teams and quality stakeholders to support...Remote work
- ...Jobgether is seeking a dynamic leader to guide a fully remote Behavioral Health Care management team in the United States. You will supervise licensed clinicians, coordinate evidence-based therapies, and respond to crises for patients with chronic conditions, driving...Remote work
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