Remote Utilization Review Coordinator for Mental Health
Nrg-Mgmt-LLC
- Remote job
Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate plans of care and justify medical necessity. The role requires experience in psychiatric/addiction care, strong confidentiality with HIPAA, and excellent communication and organizational skills. #J-18808-Ljbffr Nrg-Mgmt-LLC
$27 - $30 per hour
...work model* Job Summary The Utilization Review Coordinator is responsible for... ...outcomes within the electronic health record and other designated... ...substance use disorder treatment, mental health services, or other... ...this position is primarily remote unless business needs...Remote work$18 - $20 per hour
...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s); and to... ...life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits....Remote workWork at officeLocal areaFlexible hours- ...Job Title In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient... ...3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....Remote workFull timeMonday to Friday
- Greater Oregon Behavioral Health, Inc. (GOBHI) is seeking a full-time Utilization Management Coordinator for a remote office role in Oregon. You will provide clinical expertise in mental health and substance use treatment, review requests for medical necessity, and inform...Remote jobFull timeWork at office
$20 per hour
...respected leaders in addiction treatment, mental health recovery and eating disorder treatment... ..., continued stay and discharge reviews on all managed care clients. • Maintain... ...Intermediate level. 3-5 years' experience in Utilization Review or related position in a...SuggestedFull timeWork at officeLocal areaFlexible hours- ## Utilization Review Coordinator | Freeman West | Full - TimeApply: 1102 W 32nd Street Freeman Hospital... ...JR112377**Our Mission**To improve the health of the communities we serve through contemporary... ...solutions.**Schedule | Full - Time**Remote/Hybrid after training period**What...Remote workFull timePart time
- Our Mission To improve the health of the communities we serve through contemporary, innovative, quality... ...healthcare solutions. Schedule | Full - Time Remote/Hybrid after training period What You'll Do Provide Utilization Review and Case Management to the Emergency...Remote workFull time
$16 - $17 per hour
...Supervisor, an Index-Intake Coordinator is responsible for pre-opening... ...files to the corresponding Utilization Review or Medical Case Management... ...Friday 8:30 AM - 5:30 PM PST. Remote. Responsibilities May... ...referral forms received by EK Health Services In-take / Data Entry...Remote jobHome officeMonday to Friday$85k
...Greater Oregon Behavioral Health, Inc. (GOBHI) has an... ...opening for a Utilization Management Coordinator. This key position is a remote office position and needs... ...clinical expertise in mental health and substance use... ...tasks include clinical review of requests for services...Remote jobFull timeContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours- ...Children’s Center - Bronx Campus seeks a Utilization Review Coordinator to analyze quality, effectiveness,... ...services for individuals with mental illness at the Bronx Campus. State Service... ...ensure necessary and effective #J-18808-Ljbffr New York State Office of Mental HealthWork at office
- Integrea Community Mental Health System is seeking a UR Coordinator to manage utilization review data and coordinate housing/residential services across Region 3. The role combines administrative and clinical duties under supervision of the Clinical Director and requires...
- ...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 work
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring appropriate level... ...of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday...Remote workMonday to Friday
- ...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 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 Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote work
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior... ...medical necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
- ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent... ...concurrent reviews Schedules peer-to-peer reviews and coordinates urgent appeals as needed Required qualifications...Remote workFull time
- ...Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing... ...right time. This is a fully remote position with a Monday-... ...populations and/or community mental health Experience with benefit...Remote workMonday to Friday
- ...Bradford Health Services seeks an experienced Utilization Review Specialist to join our Birmingham-based team. You will evaluate patient records, treatment plans, and clinical data to determine medical necessity and appropriate level of care while ensuring regulatory compliance...Remote work
$20 - $24 per hour
...At LifeStance Health, we strive to help individuals... ...with their mental health needs.... ...processes. Working in coordination with the team Lead... ...This position is a remote role with the... ..., and policies Utilize all available job... ...they will not be reviewed or responded to. To...Remote workHourly payFull timeTemporary workWork at officeLocal area- 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... ...levels of care and efficient utilization of services. Required qualifications...Remote job
$27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related...Remote workHourly payFull timeMonday to Friday- 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-driven...Remote job
- ...Supporting the Utilization Management Team, the full-time Coordinator, UM Intake (Fax Admin) will manage... ...the efficient intake, review, and processing of documents while working remotely and adhering to a schedule... ...Familiarity with health insurance lines of business...Remote workFull time
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday, 9 AM–5 PM ET | $24–$26/... ...authorizations for adolescent and adult mental health, substance use, and co-... ...Submit denial appeals and coordinate peer-to-peer reviews. Track...Remote workFull timeMonday to Friday- ...Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated... ...Insurance ~ Flexible Spending or Health Savings Account ~ Generous Paid Time... ...clinical experience in a psychiatric or mental health setting. Experience in...Local areaWork from homeMonday to FridayFlexible hoursDay shift
- ...Utilization Management Coordinator This position performs non-clinical functions for the Utilization Management... ...Answers queue calls relating to UM review and pre-service status. • Provides... ...and/or benefits from a Health Plan preferred. • Excellent keyboard...Remote work
- ...join our talented Team. Job Title: Utilization Management Coordinator. Location: Reston, VA. Purpose: ~... ...related to pre-service, utilization review, care coordination and quality of care... ...directly or indirectly on Federal health care programs. Must be able to effectively...Remote workWork experience placementWork at officeImmediate start
- ...Experience Required Exp with Utilization Review, Medical Audit/Review or QI preferred License... ...: Registered Nurse (RN), Registered Health Information Administrator (RHIA),... ...Description The Utilization Review Coordinator is responsible for ensuring the appropriate...Full timeApprenticeshipShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Coordinator for Mental Health. Be the first to apply!
- soccer coordinator Boca Raton, FL
- candidate experience coordinator Boca Raton, FL
- systems coordinator Boca Raton, FL
- inspection coordinator Boca Raton, FL
- learning coordinator Boca Raton, FL
- sustainability coordinator Boca Raton, FL
- intake coordinator Boca Raton, FL
- coordinator Boca Raton, FL
- order coordinator Boca Raton, FL
- order fulfillment coordinator Boca Raton, FL

