Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Manager in Boston, MA vacancy
  •  ...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

    Houston, TX
    2 days ago
  • 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

    WellSense Health Plan

    Brooklyn, NY
    3 days ago
  • 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

    Humana

    New York, NY
    4 days ago
  • 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.

    Kansas City, MO
    1 day ago
  • 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

    KVC Health Systems, Inc.

    Kansas City, MO
    1 day ago
  • $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 work
    Contract work
    Temporary work

    Actalent

    Santa Barbara, CA
    2 days ago
  • $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 work
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    Flexible hours

    UnitedHealth Group

    Grand Junction, CO
    4 days ago
  • $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 work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    CVS Health

    Florida
    12 days ago
  •  ...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 work
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday

    Animo Sano Psychiatry PLLC

    Durham, NC
    8 days ago
  •  ...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 work
    Full time
    Work at office

    LPOLLC

    Ann Arbor, MI
    4 days ago
  • $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 work
    Contract work
    Temporary work
    Monday to Friday

    Actalent

    Santa Barbara, CA
    2 days ago
  • $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 work
    Hourly pay
    Full time
    Contract work
    Currently hiring
    Local area
    Monday to Friday
    Flexible hours

    Athena Consulting

    Hanover, MD
    14 days ago
  •  ...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 work
    Local area
    Immediate start
    Monday to Friday
    Weekend work
    Afternoon shift

    Vynca

    Eastern, KY
    1 day ago
  •  ...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 work
    Work at office
    Work from home
    Home office

    Care Compass Network

    Binghamton, NY
    2 days ago
  • $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 work
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Immediate start
    Worldwide
    Flexible hours

    Innova Solutions

    Philadelphia, PA
    1 day ago
  •  ...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 work
    Local area
    Immediate start
    Monday to Friday
    Shift work
    Weekend work
    Afternoon shift

    Vynca

    Los Angeles, CA
    4 days ago
  • $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 work
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday

    Pennsylvania Psychological Association

    Lansing, MI
    1 day ago
  •  ...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 work
    Contract work
    For contractors
    Casual work
    Work at office
    Local area
    Flexible hours

    Yamhill Community Care

    Mcminnville, OR
    13 days ago
  • $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 work
    Contract work
    Temporary work
    Work experience placement

    Dahl Consulting

    Wisconsin
    12 days ago
  • 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... 

    Quantum Health

    Columbus, OH
    1 day ago
  • 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 job
    Full time
    Work from home
    Flexible hours

    CVS Health

    New York, NY
    2 days ago
  • 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... 

    Chapter 13 Trustee Middle District of Alabama

    Hilliard, OH
    2 days ago
  • $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 work
    Temporary work
    Work at office
    3 days per week

    The Hartford

    Tallahassee, FL
    1 day ago
  • $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 work
    Flexible hours

    Clarity Pediatrics, Inc.

    Eastern, KY
    3 days ago
  • 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 job
    Monday to Friday
    Flexible hours

    CVS Health Corporation

    Lansing, MI
    19 hours ago
  • $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 work
    Flexible hours

    Cohere Health

    United States
    4 days ago
  •  ...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 work
    Work from home

    CVS Health

    Jackson, MS
    3 days ago
  • 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
    2 days ago
  • $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 work
    Live in
    Local area

    PM Pediatric Care

    Lake Success, NY
    1 day ago
  • $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 job
    Full time
    Work at office
    Flexible hours
    Weekend work

    RemoteWorker US

    Afton, TX
    19 hours ago

Do you want to receive more vacancies?

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