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
- ...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
- WellSense Health Plan is seeking a Behavioral Health Utilization Manager to oversee outpatient and non-24 hour diversionary services. You will be a key clinical decision... ...a proactive, analytical approach. This primarily remote role involves collaboration with Medical Directors...Remote job
- Humana is seeking a remote behavioral health clinician to support coordination, documentation, and communication of medical services and benefit determinations. The role requires an active RN license or a master's in behavioral health with Louisiana licensure, plus 3+...Remote job
- KVC Health Systems, Inc. is seeking a detail-oriented Utilization Review Manager (URM) to serve as a key link between treatment teams,... ...and external partners. This remote statewide Missouri role focuses... ...authorizations to support high-quality behavioral healthcare for children and...Remote job
- KVC Health Systems, Inc. in Kansas City, MO is seeking a dedicated Utilization Review Manager (URM) to obtain and review clinical and medical service authorizations, supporting high-quality behavioral healthcare for children and families. You will liaise with treatment...Remote job
$46.89 - $51.11 per hour
...Job Description Job Description Behavioral Health Manager Location: Santa Barbara, CA (Hybrid... ...clinical review, care coordination, and utilization management activities. This hybrid... ...Leave) Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary work$72.8k - $130k
...we're simplifying the health care experience, creating... ...togetherSupports Behavioral Health Quality Improvement... ...efficiency, and management of total cost of care.... ...the flexibility to work remotely* as you take on some tough... ...and effective utilization of developing HIT\HIE...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours$60.53k - $129.63k
...We’re building a world of health around every individual — shaping a more connected, convenient... ...one family and one community at a time. Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday–Friday, 8:...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift- ...Job Description Location: Remote Employment Type: Full-time... ...experienced, patient-focused Practice Manager to oversee administrative... ...its growing outpatient behavioral health practice. This role supports... ..., rent arrangements, utilities, registrations, inspections,...Remote workFull timeContract workWork at officeLocal areaMonday to Friday
- ...Description Job Description:\n\nJob Title: Behavioral Health Care Manager (Complex Care Manager) Employee... ...(office, practice sites, and remote) Compensation: commensurate with licensure... ...gaps in care, reduce avoidable utilization, and improve outcomes for patients with...Remote workFull timeWork at office
$46.89 - $51.11 per hour
...Job Description Job Description Behavioral Health Manager Location: Santa Barbara, CA (Hybrid... ...Preferred Qualifications Managed care, utilization management, or case management... ...Leave) Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workMonday to Friday$35 - $37 per hour
...currently hiring for the Maryland Behavioral Health Administrative Services... ..., this position is remote but you must be licensed in... ...The Behavioral Health Care Manager II (ABA Specialist) is responsible... ...managing behavioral health utilization management (UM) activities focused...Remote workHourly payFull timeContract workCurrently hiringLocal areaMonday to FridayFlexible hours- ...seeking an exceptional hybrid Behavioral Health (BH) Case Managerto join our Enhanced Care Management team in Orange County, CA. Under... ...do Hybrid (in‑person and remote) care management duties as described... ...(e.g. PCP, etc.) Utilize evidence-based practices, such...Remote workLocal areaImmediate startMonday to FridayWeekend workAfternoon shift
- ...Description Job Description The Behavioral Health Project Manager II will be a key contributor to the... ...~ Experience working in a Hybrid or remote work environment. ~1-3 yrs experience... ...: Care Compass Network utilizes a hybrid work model where employees...Remote workWork at officeWork from homeHome office
$40 - $45 per hour
...Is Immediately Hiring for Behavioral Health Clinician Position type:... ...Location: Philadelphia, PA (Remote) As a Behavioral Health Clinician... ...medical knowledge to cases utilizing specified resources and... ...resources such as; InterQual, Care Management Policy, Medical Policy and...Remote workHourly payFull timeContract workTemporary workWork experience placementImmediate startWorldwideFlexible hours- ...Internal Title: Clinical Lead Care Manager Department: Enhanced Care... ...an exceptional hybrid Behavioral Health (BH) Case Manager to join... ...do Hybrid (in-person and remote) care management duties as described... ...(e.g. PCP, etc.) Utilize evidence-based practices, such...Remote workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift
$60.52k - $129.62k
...We're building a world of health around every individual - shaping a more... ...community at a time. Clinical Case Manager - Behavioral Health (Licensed) 100% Remote | Anywhere in the U.S. | Monday-Friday... ...referrals and follow-up Utilize Motivational Interviewing techniques...Remote workHourly payFull timeTemporary workLocal areaMonday to Friday- ...Primary Work Location : Remote (Oregon Headquarters). This... ...Washington. Department: Health Plan Operations FLSA... ...Exempt (Salaried) Division: Utilization Management Physical Strength: Light... ...Healthcare related field, such as Behavioral Health, Healthcare...Remote workContract workFor contractorsCasual workWork at officeLocal areaFlexible hours
$32 - $45 per hour
...Title : Behavioral Health Case Manager Location : Remote | Candidates based in Wisconsin preferred Job Type : Contract (14 months) Compensation... ...quality of life, and support efficient healthcare utilization. We are seeking a Behavioral Health Case Manager...Remote workContract workTemporary workWork experience placement- Lead behavioral health utilization management programs, supporting effective care coordination and the delivery of services to members. This role offers competitive base and incentive compensation, comprehensive insurance coverage, retirement benefits, paid time off, and...
- CVS Health is seeking an Utilization Management Clinical Consultant for a Work at Home CST role. You will apply clinical experience to assess treatment... .... This full-time position requires an independent Behavioral Health license (LA or Compact), 3+ years in behavioral...Remote jobFull timeWork from homeFlexible hours
- The Chapter 13 Trustee Middle District of Alabama seeks an experienced professional to manage behavioral health utilization management programs and support care coordination across services. You will oversee program operations, monitor outcomes, and collaborate with internal...
$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$105k - $120k
...innovative leaders in pediatric health. One in three American... ...team and lead a growing team of behavioral health providers. You'll work... ...model. This position is fully remote, with optional in-person work... ...-based treatment 3+ years managing clinical teams, including scheduling...Remote workFlexible hours- CVS Health Corporation is seeking a licensed Behavioral Health clinician to serve as a Clinical Case Manager. This 100% remote role supports members with complex mental health and substance use... ..., develop care plans, and utilize Motivational Interviewing in a flexible...Remote jobMonday to FridayFlexible hours
$240k - $250k
...Medical Director Utilization Management We are looking for physicians who... ...Medical Director for Cohere Health, this is a critical role in... ...perspectives. This is a remote-first role that may require... ...Meet your Hiring Manager! # Behavioral Interview(s) *Subject...Remote workFlexible hours- ...CVS Health is seeking a Remote Behavioral Health Clinician to deliver comprehensive behavioral health services from a home-based setting. The role focuses on assessments, care planning, collaboration with providers, and ensuring follow-up care for members with complex...Remote workWork from home
- Behavioral Health Care Manager I (3rd Shift -After Hours) Join to apply for the Behavioral Health Care... ...Previous experience in case management/utilization management with a broad range of... ...Behavioral Health Care Manager (BHCM) - Remote Florida, United States $59,300.00-$8...Remote workFull timeContract workTemporary workPart timeLocal areaShift workNight shiftWeekend work1 day per week
$150k - $190k
...a state-based mental health practice serving thousands... ...operations, drive utilization, and build a high-performing... ...role reports to VP - Behavioral Health. Description... ...reduce no-shows ~ Manage referral flow from PM... ..., team meetings) and remote work (administrative...Remote workLive inLocal area$231.9k
Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral Medical Director... ...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 jobFull timeWork at officeFlexible hoursWeekend work
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