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

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Manager in Boston, MA vacancy

Behavioral Health Utilization Manager
$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 work
Full time
Work experience placement
Work at office
Local area
Immediate start
Monday to Friday
Shift work
Banner Health
Arizona
5 days ago
Remote Behavioral Health Utilization Manager
...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
Harris Health
United States
1 day ago
Remote Behavioral Health Utilization Manager
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
Banner Health
Phoenix, AZ
2 days ago
Remote Behavioral Health Utilization Manager
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 applying...
Remote job
County of San Juan
New York, NY
3 days ago
Remote Behavioral Health Utilization Manager (RN/LCSW/LCPC)
...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
Humana
Brooklyn, NY
5 days ago
Supervisor, Behavioral Health Utilization Management
$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 work
Full time
Part time
Work at office
Flexible hours
Centene Corporation
Florida
7 days ago
Remote Behavioral Health Medical Director Quality & Utilization
...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 Corporation
United States
3 days ago
Remote Behavioral Health Utilization Supervisor (BCBA Lead)
...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
Centene Corporation
United States
4 days ago
Behavioral Health Provider Quality Manager - Northern California
$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 work
Local area
Elevance Health
Sacramento, CA
3 days ago
Behavioral Health Care Manager
$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 work
Full time
Flexible hours
Protocol Behavioral Health
Remote
9 days ago
Texas Licensed Behavioral Health Manager
...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 work
Full time
Virtual Vocations Inc
United States
3 days ago
Behavioral Health Care Manager
...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 work
Full time
Work at office
LPOLLC
Ann Arbor, MI
2 days ago
Health Plan Utilization Management Manager - Oregon Medicaid
...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 work
Contract work
For contractors
Casual work
Work at office
Local area
Flexible hours
Yamhill Community Care
Mcminnville, OR
2 days ago
Clinical Programs Behavioral Health Utilization Management Manager
...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...
Chapter 13 Trustee Middle District of Alabama
Hilliard, OH
4 days ago
Behavioral Health Utilization Programs Manager
...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...
Chapter 13 Trustee Middle District of Alabama
New Albany, OH
4 days ago
Behavioral Health Case Manager (HRSN)
$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 work
Contract work
Work at office
Local area
Acentra Health, LLC
Remote
19 days ago
Behavioral Health Case Manager
$62.4k - $72.8k
...job We're seeking an exceptional Behavioral Health Case Manager (internal title: Clinical Lead Care Manager... ...as possible. What you’ll do Remote care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as Motivational...
Remote work
Full time
Local area
Immediate start
Monday to Friday
Shift work
Weekend work
Afternoon shift
Vynca
Arizona
6 days ago
Remote Behavioral Health Manager - Neurodegenerative Care
...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
Synapticure
United States
2 days ago
Behavioral Health Case Manager
$74.8k - $112.2k
...Behavioral Health Case Mgr – CT08IE We’re determined to make a difference... ...team of Behavioral Health Case Managers who are responsible for the... ...information. They will utilize established clinical guidelines... ...This role can have a Hybrid or Remote work schedule. Candidates...
Remote work
Temporary work
Work experience placement
Work at office
3 days per week
The Hartford
Denver, CO
2 days ago
Remote Behavioral Medical Director - Texas
$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 work
Full time
Work at office
Flexible hours
Weekend work
RemoteWorker US
United States
3 days ago
Behavioral Medical Director - Remote
$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 work
Minimum wage
Full time
Work experience placement
Local area
Optum
Eden Prairie, MN
1 day ago
Behavioral Health Practice Manager
$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 work
Monday to Friday
Orion Placement
Raleigh, NC
1 day ago
Remote Pediatric Behavioral Health Manager - Impactful Care
...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
Triplemoon
United States
6 hours ago
*Nurse Case Manager II - Behavioral Health Case Manager II
...Behavioral Health Case Manager IIJob Location: Remote - MIDuration: 4+ Months Contract (Potential for extension)Pay Rate: $44.12/HR on W2Shift: M-F 8 AM-5... ...unrestricted and active in state of Michigan.The Case Manager utilizes a collaborative process of assessment, planning,...
Remote work
Contract work
Work at office
Conflux Systems
Cass City, MI
5 days ago
RN Field Behavioral Health Case Manager
...position for you! Job Description RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be... ...communication between case management staff, utilization management staff, health plan partners and contracted...
Remote work
HealthCare Support
Maumee, OH
3 days ago
Remote Lead Behavioral Health Manager
...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
Jobgether SRL
United States
2 days ago
Remote Medicaid Behavioral Health Case Manager - Oregon (5)
...Acentra Health, LLC is seeking a Case Manager of Behavioral Health (HRSN) to evaluate beneficiaries needs, develop individualized care plans, and coordinate... ...for this opportunity by scrolling down now. This remote position requires residency in Oregon and involves...
Remote work
Work from home
Acentra Health, LLC
United States
3 days ago
Behavioral Health Case Manager
...We're seeking an exceptional hybrid Behavioral Health (BH) Case Manager to join our Enhanced Care Management... ...What You’ll Do Hybrid (in-person and remote) care management duties as described... ...care professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as...
Remote work
Local area
Immediate start
Monday to Friday
Shift work
Weekend work
Afternoon shift
Vynca
Santa Ana, CA
2 days ago
Remote Behavioral Medical Director (Psychiatry)
...A leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral health providers and requires strong clinical oversight skills. Candidates must hold a Doctor of Medicine...
Remote work
Optum
United States
4 days ago
Behavioral Health Care Manager I (3rd Shift -After Hours)
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 work
Full time
Contract work
Temporary work
Part time
Local area
Shift work
Night shift
Weekend work
1 day per week
Elevance Health
New York, NY
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Manager. Be the first to apply!