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
- 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
$28.28 - $47.13 per hour
...is full of possibilities. At Banner Health, we’re excited about what the... ...skills to BPN. Position Summary As a Behavioral Health Utilization Care Manager, you will review prior authorization... ...Your work location will be entirely remote. This position does require Arizona...Remote workWork experience placementWork at officeLocal areaMonday to FridayShift 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$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- ...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
$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$60.52k - $129.62k
...Clinical Case Manager – Behavioral Health (Licensed) 100% Remote | Work from Anywhere in the U.S. | Monday–Friday Business Hours No Weekends | No Holidays... ..., barriers to care, and complex health needs Utilize Motivational Interviewing techniques to engage members...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$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- ...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
$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 workFull timeContract 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$75k
...partnering with a telehealth mental health practice and is searching for a Behavioral Health Care Manager (BHCM) to support people... ...health concerns. Experience utilizing evidence-based interventions,... ...Requirements: This role is entirely remote, serving patients nationwide...Remote workFull timeImmediate start3 days per week$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- ...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
- ...Centene Corp. seeks a Behavioral Health Medical Director to lead medical management, quality improvement and credentialing... ...Pacific Time preference is noted. Remote-CA with full-time schedule and... ...described. The role emphasizes utilization review leadership, clinical...Remote workFull timeWeekend work
- ...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 workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift
- 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
$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$215k - $408.5k
...coordinate the medical management, quality improvement... ...leadership of all for utilization management, cost containment... ...utilization and health care quality. Reviews... ...programs. For Behavioral Health only - Board certification... ...approach to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$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- ...Optum is seeking a Behavioral Clinical Program Manager to lead analytics and collaboration with ABA providers nationwide. This remote role focuses on improving client outcomes, compliance, and billing practices while partnering with Care Advocacy and Network teams....Remote workFlexible 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). Cohere...Remote workFlexible hours- ..., and wraparound care coordination and behavioral health support in all 50 states through a virtual... ...The Role The Behavioral Health Care Manager is a direct support role addressing the... ...Benefits For Full‑time Employees ~ Remote‑first design with work‑from‑home...Remote workFull timeWork from home
$75k - $90k
...- Salem, Oregon OR Care Management F-T Reg 40 hrs Salaried/Exempt... ...0.00 Annually This is a remote position based in Salem,... ...about improving access to behavioral health services in the community?... ...evidence-based criteria to utilization management reviews; document...Remote workFull timeContract workWork from home- ...Vynca Inc. is seeking a Behavioral Health Case Manager (internal title: Clinical Lead Care Manager, CLCM) to coordinate care for clients with complex... ...services, promoting wellness and independence. This is a remote, full-time role open to applicants in AZ, CA, CO, IL, NV,...Remote workFull time
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