Remote Behavioral Health UM Clinician
Humana Inc
- Remote job
Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits. You will interpret criteria, communicate with providers and members, and require independent decision-making with guidance as needed. The ideal candidate has 3+ years post-degree clinical BH experience, multiple state licenses as applicable, and strong MS Office skills for a remote work environment. #J-18808-Ljbffr Humana Inc
- CVS Health is hiring a Behavioral Health Precertification/UM Clinician for a 100% remote role, working Monday-Friday 12:00 PM to 8:30 PM EST. You will review behavioral health authorizations, ensure appropriate levels of care, and support timely, evidence-based treatment...Remote jobMonday to Friday
- ...Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote work with a focus on coordination and documentation of behavioral health determinations for Louisiana members. The role requires Louisiana residence, 3+ years of post-degree...Remote work
$65k - $88.6k
...part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses... ...skills to troubleshoot and resolve within a remote environment Preferred Qualifications Behavioral Health UM experience, performing medical necessity reviews...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly...Remote workPermanent employmentFull timeWork at officeLocal area- ...Job Title - Behavioral Health Clinician Job Location - Remote but Must Reside in the state of Arkansas Duration - 3+ Months Job Summary... ...Utilization Review (UR) and Utilization Management (UM) within behavioral health or medical settings....Remote workWork at office
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity, conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals...Remote workWork from home
$54.1k - $116.76k
...We’re building a world of health around every individual — shaping... ...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM –... ...Behavioral Health Precertification/UM Clinician, you will review...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work- ...Centene Corporation seeks a Behavioral Health Utilization Review professional to perform clinical reviews and assess the appropriateness of mental health and substance use services. This fully remote role supports Ambetter / Marketplace, reviewing requests for inpatient...Remote work
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services... ...appropriate level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
$70k
...SAGE Counseling is seeking a Full-Time Lead Assessment Clinician to conduct assessments, diagnoses, and intakes for new clients.... ...will review and approve completed assessments. Must hold a Behavioral Health License (LPC, LAC, LMSW, LCSW) and reside in Arizona, with work...Remote workFull timeWork from homeMonday to Friday- ...Alliance Health in North Carolina seeks a Behavioral Health Clinician to perform telephonic screening, triage and referrals for individuals seeking services. The... ...Medicaid funded emergencies. The position supports remote work from home with a 6–8 week virtual training...Remote workPermanent employmentWork from home
- Cambia Health Solutions is seeking a Behavioral Health Utilization Management Clinician to work from home within Oregon, Washington, Idaho or Utah. The role focuses on applying utilization management to ensure medical necessity and cost-effective outcomes while supporting...Remote jobWork from home
- CVS Health is seeking a remote Behavioral Health Clinician to provide high-quality mental health care from a home-based setting. This independent, licensed professional will assess, plan, and coordinate care for members with complex behavioral health and substance use...Remote jobWork from home
- ...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,...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a nationwide...Remote workFull timeDay shift
- SpringHealth Behavioral Health and Integrated Care is seeking a clinician to conduct assessments, coordinate home, work and community visits, and ensure effective implementation of Behavior Intervention Plans. The role involves collaboration with supervisors, care staff...Remote jobWork from home
- Centene is seeking a Supervisor, Behavioral Health Utilization Management to lead the UM BH utilization review team and... ...‑quality care for members. This remote role reports to senior leadership... ...competitive salary. You will supervise BH clinicians, monitor resources, implement...Remote jobFull time
- ...Supporting utilization management efforts, the full-time Licensed Behavioral Health Clinician will perform clinical reviews and assessments related to... ...abuse, ensuring the appropriateness of care while working remotely. Key Responsibilities Evaluates treatment for mental...Remote workFull time
- ...Isite Technologies Inc is looking for a passionate Behavioral Health Clinician to work remotely and support individuals facing mental health challenges. This role requires active Arkansas licensure in Social Work, Counseling, or Psychology and a relevant master's degree...Remote work
- ...Beth Israel Lahey Health is seeking a per diem Behavioral Health Crisis Counselor to work remotely via telehealth, serving patients at a Massachusetts hospital. The role involves crisis assessment, intervention and coordination with hospital staff to ensure timely referrals...Remote workDaily paid
$45 per hour
...Behavioral Health Clinician - Remote (Tri-State Area PA, NJ, DE) - Contract - $45.00 Per HR Title: Behavioral Health Clinician Location: Remote (Tri-State Area PA, NJ, DE) Employment Type: Contract Compensation: Pay Range: $45.00 Per HR Description...Remote workContract work- ...Independence Health System Inc. is seeking a Behavioral Health Specialist- Non- Licensed to deliver psychosocial and therapeutic services within a primary care setting. This role supports integration of behavioral health into primary care, performing assessments and...Remote work
- ...Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-...Remote work
- ...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
$66.71k - $77.56k
...Behavioral Health Crisis Line Clinician Bilingual Join to apply for the Behavioral Health Crisis Line Clinician Bilingual role at Trillium Health... ...Posting Salary Range: $62,712 - $77,564 Office Location: Remote in North Carolina POSTING DETAILS: Make an Impact...Remote workFull timePart timeWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- ...UofL Health seeks a Behavioral Health Assessment and Outreach Clinician to perform comprehensive behavioral health evaluations, determine provisional diagnoses, and... ...of-care decisions with physicians and care teams. Remote and telehealth assessments are supported, with on...Remote workLocal area
- ...Centene Corporation offers a fully remote role focused on reviewing behavioral health authorizations for inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm Eastern or Central, with preference for candidates in...Remote workMonday to Friday
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
$67k - $77.5k
...Description Job Description Description: Standard Outpatient Clinician – Behavioral Health Services – is a master’s level mental health clinician... ...policies and concerns for clients Internet access for remote work How to Apply: Submit a cover letter and resume...Remote workHourly payWork from homeEasy work- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental health and substance use care, performs prior authorization and concurrent reviews, and collaborates with providers and...Remote job
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