Remote Utilization Review Specialist - Behavioral Health
Santa Barbara Cottage Hospital
Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a focus on compliance and patient privacy. The position requires ASAM knowledge, medical terminology proficiency, and familiarity with state and federal confidentiality laws. #J-18808-Ljbffr
- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field required...Remote work- ..., the contract-to-hire BCBA Licensed Utilization Review Specialist will perform prospective, concurrent,... ...and retrospective reviews of Applied Behavior Analysis (ABA) services, ensuring medical... ...and appropriateness while working remotely. Key responsibilities Perform...Remote workContract work
$60k - $62k
...Job Description Job Description Title : Utilization Review Specialist/Behavioral Health Substance Abuse (Remote) Reports to : UR Manager FLSA Classification : Exempt Full-Time or Part-Time : Full-Time Salary Range : $60,000 to $62,000 Starting...Remote jobFull timePart timeFlexible hours$41.6k - $47k
...Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS... ..., Exempt About Umpqua Health At Umpqua Health, we’re... ...care, specialty care, behavioral health services, and care... ...organized and productive in a remote, independent work environment...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift work- ...Job Description Job Description Utilization Review Specialist – Behavioral Health Facility We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. This role involves reviewing clinical documentation, ensuring...Remote jobFlexible hours
- ...Job Description Job Description Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department... ...You’ll Do Champion patient care by reviewing medical records and clinical documentation...Remote workFull timeWork at office
$29.62 - $45.31 per hour
...Description Providence Health Plan caregivers are not simply valued – they’re invaluable... ...Department Coordinate and execute the review and research functions required to... ...inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...purpose-driven leadership. At Bradford Health Services, we are committed to... ...digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching... ...people. About the Role: The Utilization Review Specialist plays a critical role in ensuring...Remote workPart time
$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...Performs a clinical review and assesses care related... ...concurrent review of behavioral health (BH) inpatient... ...quality and appropriate utilization of services... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hours- ...Behavioral Health Specialist As a Behavioral Health Specialist, you will be part... ...with opportunities for both remote and on-site work.... ...substance use disorders. Utilizes evidence-based treatment models... ...policies. Participates in peer review processes, agency audits,...Remote workWork at officeFlexible hours
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based... ...relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including...Remote workContract workWork from home
- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle... ...environment. This is a fully remote or office/home hybrid position.... ...~3-5 years of related ABA and/or Behavioral Health experience. ~ Bachelor's or master...Remote workWork at officeFlexible hours
- ...NeighborHealth’s SCO RN UM Reviewer role is based in East Boston within the Senior Care Options team. You will review clinical appeals... ...Managers and the Medical Director to support timely decisions and effective patient care across a multi-site health plan. #J-18808-Ljbffr...Remote work
- ...diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health... ...evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have...Remote workFlexible hours
- ...experience matters El Dorado Springs Behavioral Health is part of Lifepoint Health, a... ...provide exceptional care to others. As a Utilization Review Specialistjoining our team, you're... ...contribute A Utilization Review Specialist who excels in this role: Facilitates...Full timeTemporary workPart timeReliefFlexible hours
$65k - $88.6k
...part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health... ...basic technical difficulties in a remote environment. Ability to work independently... ...of experience with utilization review process Experience with behavioral...Remote workFull timeTemporary workApprenticeshipPrivate practiceWork at officeWork from homeHome office- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$30 - $45 per hour
...agency is seeking an Operations Specialist III for a contract... ...experience in Epic EHR and Utilization Review. The selected candidate will... ...program metrics. This position is remote and offers a pay range of $3... ...employee benefits including health insurance and a 401(k) plan....Remote workHourly payContract work- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients... ...Minimum Qualifications: Bachelor's degree in Nursing, Health Administration, or a related healthcare field. At least...Remote work
- ...Position: Case Review Specialist – Phone Intake & Documentation Location: Remote Remote Status: Remote Job Id: 1678 # of Openings... ...is a leading digital health company dedicated to helping health... ...experience in healthcare operations, utilization management, case management,...Remote workWork at officeLocal areaMonday to FridayShift work
$20.87 - $27.13 per hour
...:CO:Aurora Department: IP Behavioral Unit Work Schedule: Full Time... ...does not offer a hybrid or remote option Career Ladder:... ...for patients with behavioral health needs in the inpatient, emergency... ...and cost of living. Market reviews: All UCHealth positions are...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$17 - $25.63 per hour
...Behavioral Health Specialist Bainbridge, OH 45612 Overview Salary Range $17.00 - $25.63 Hourly... ...activities and a positive peer community utilizing TBRI strategies. Essential... ...role is considered essential with no remote work options. The position is exposed...Remote workHourly payLocal areaDay shiftAfternoon shift- ...Medical Center Health System in Odessa, TX seeks a detail‑oriented support clerk to assist the Utilization Management department with utilization reviews, data collection, and care coordination activities. The position requires a high school diploma, at least one year...
- (CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and... ...Residential programs. This full-time, remote role requires a Master’s degree in behavioral health and relevant experience in treatment...Remote workFull time
- ...This is a great opportunity for a local remote position. Schedule PRN (As... ...support all units/staff (commercial, behavioral health, inpatient, etc). Requirements:... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...The Infection Prevention Specialist II (IPS II) is an advanced-level... ...is preferred although behavioral health experience is not a requirement... ...and the remaining time can be remote. Position will fall under... ...investigations, complex case reviews, and proactive risk-...Remote workWork at officeShift work2 days per week3 days per week
- Join Optum/UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing... ...level of care at the right time. This is a fully remote position with a Monday-Friday schedule during...Remote workMonday to Friday
$59.7k
...with dignity in their own homes. As a Behavioral Health Specialist, you’ll provide meaningful,... ...structure - 4 days onsite and 1 day remote. What You’ll Do As a key member... ...behavioral health consultation, case reviews, and in-service training to colleagues...Remote workFull timeMonday to FridayFlexible hoursWeekend workAfternoon shift$25 - $30 per hour
...Hybrid Authorization Specialist Hybrid | Full-... ...and Thursdays remote| $25-$30/hour... ...certifications, concurrent reviews, verifying... ...translate well: Utilization Review · Insurance... ...for a mental health or substance use... ...and PRC are dual behavioral health organizations...Remote workFull timeMonday to Friday
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