Remote Behavioral Health Utilization Reviewer
COMAGINE HEALTH
Salem, OR
- Remote job
COMAGINE HEALTH is seeking a remote utilization review clinician based in Oregon to evaluate medical necessity for behavioral health services. The role involves reviewing clinical documentation, performing initial and continued stay assessments, and coordinating care across in-home and community settings. You will travel within the Eugene area as needed. Requires active Oregon licensure (LCSW/LPC/LCPC) and 3 years of direct patient care experience, with strong documentation and MS Office skills. #J-18808-Ljbffr COMAGINE HEALTH
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Reviewer in Salem, OR vacancy
- ...Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and appropriateness of behavioral health services. You will review clinical... ...documentation, perform utilization reviews, and document... ...youth, and adults. This remote, Oregon-based role...Remote work
Comagine Health
United States1 day ago - Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will... ..., 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr Comagine HealthRemote job
- Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas. Review clinical... ...populations. The position emphasizes utilization review, documentation, and collaboration with...Remote jobWork from home
- Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's degree...Remote job
$130 - $145 per hour
...Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built... ...Management. Work Location: This position is fully remote and open to candidates residing in the U. S. , excluding...Remote workHourly payFull timePart timeWork from homeHome officeOscar
New York, NYa month ago- Cook Children's Health Plan in Fort Worth, TX seeks an experienced RN Reviewer for Utilization Management to coordinate care and ensure timely, quality services for plan members. The role focuses on behavioral health and ambulatory care, with cross-training across areas...Remote job
- ...Location: Remote - TX Department: Utilization Shift: First Shift (United States... ...efficient utilization of health care resources for Cook Childrens... ...Manager (UM/ECM - RN) Reviewer facilitates clinically... ...coordinate members needing Behavioral Health and outpatient...Remote workFull timeShift workDay shift
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
ExamWorks
United States2 days ago - ...MMRO Managed Medical Review Organization (MMRO) is... ...with government agencies, health plans, employers, and... ...Developmental Behavior-Pediatrics , to join our... ...Reviews are conducted remotely and do not require direct... ...established turnaround times. Utilize MMRO review templates...Remote workFull timeContract workFor contractorsFlexible hours
- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
Dane Street
United States4 days ago $35 - $40 per hour
...containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...Medicare Part B medications, LTSS, and Home Health. Apply established criteria (e.g.,... ...require weekends. Location: Fully remote work at home role. Secure, private area...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend workSagility LLC
New York, NY1 day ago$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home...Remote jobWork from home- ...POSITION PURPOSE The Board-Certified Assistant Behavior Analyst (BCaBA), Utilization Reviewer role is responsible for evaluating the medical necessity... ...working in ABA services, autism services, behavioral health, utilization management, or a related healthcare setting...Full timeH1bWork at officeLocal areaRelocationVisa sponsorship
- Elevance Health is seeking a Psychologist Reviewer - ABA to join our behavioral health team in a virtual, full‑time capacity. You will collaborate with providers, BCBAs and Medical Directors to verify medical necessity and appropriate levels of care across ABA and psychological...Remote jobFull time
$219k - $286.9k
...Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology... ...Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workFull timeLocal areaWork from homeHome officeWeekend work- Cook Children's Health Care System is seeking a Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer to coordinate the efficient utilization of health care resources for CCHP members and ensure timely, quality care throughout the continuum...Remote job
- Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will apply UM criteria and clinical judgment to determine coverage for inpatient and outpatient services, coordinating with care teams to ensure appropriate...Remote jobFull time
- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services, applying UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to ensure...Remote jobFull time
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
Centene Corporation
Eastern, KY2 days ago $35 - $40 per hour
Sagility LLC, a leader in healthcare transformation, seeks an RN Utilization Management Reviewer for a fully remote role. You will perform timely clinical decision reviews for services requiring prior authorization across various clinical areas, applying criteria like...Remote jobHourly pay- A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote jobFull timeCasual workMonday to Friday
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobFor contractorsMonday to FridayFlexible hours
- Oscar Health seeks a Physician Reviewer to join the Utilization Management team in a remote US-based role. You will determine the medical appropriateness of services and document decisions using evidence-based guidelines and Oscar workflows. Responsibilities include timely...Remote job
- Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ...Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels...Remote work
Centene Corporation
United States1 day ago - ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing authorization requests and inpatient cases across various settings. The role emphasizes collaboration with providers, medical...Remote work
Centene Corporation
Brooklyn, NY1 day ago - In this remote contract role, the physician reviews clinical service requests from members and providers, applying clinical judgment and managed care... ...and electronic file review. Preferred Experience in utilization review, case review, or related physician reviewer work...Remote workFull timeContract workWeekend workWeekday work
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
Recovery Unplugged
United States1 day ago $35 - $40 per hour
...employees across 5 countries. Job title: RN Utilization Management Reviewer Job Description: We are currently... ...and Supports (LTSS), and Home Health (HH) Applies established criteria (e... ...May require weekends This is a fully remote work at home role. You must have a secure...Remote workHourly payTemporary workCurrently hiringMonday to FridayFlexible hoursWeekend work- ...At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is... ...and The Power of Every One. Job Title Utilization Management RN Reviewer Location Cleveland Facility Remote Location Department Utilization And Quality...Remote workFull timeWork at officeShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Reviewer. Be the first to apply!
Related searches
- c++ remote Salem, OR
- senior devops engineer remote Salem, OR
- remote .net full stack web developer Salem, OR
- nursing recruiter (remote) Salem, OR
- clinical data coordinator remote Salem, OR
- pmp - project manager - remote Salem, OR
- part time project manager remote Salem, OR
- junior project manager remote Salem, OR
- web developer internship remote Salem, OR
- remote weekend Salem, OR