Remote Utilization Review Coordinator for Mental Health
Nrg-Mgmt-LLC
Boca Raton, FL
- 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
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Coordinator for Mental Health in Boca Raton, FL vacancy
- ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....Remote workFull timeMonday to Friday
Henry Ford Health System
Troy, MI1 day ago $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 hoursSedgwick
United States21 hours ago- ...clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will assign utilization review requests, verify and enter... ...systems, and respond to inquiries while working remotely. Key responsibilities Accesses, triages, and assigns cases...Remote workFull timeWork at office
Virtual Vocations Inc
United States3 days ago - ...abuse treatment and behavioral health providers. Through services... ...and claims submission, and utilization review, we help treatment centers... ...requested,Experience in the Mental Health/Addiction space, May... ...desk and working on a computer.Remote PositionBenefits:•...Remote workHourly payWork at office
Nrg-Mgmt-LLC
Boca Raton, FL2 days ago $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 hoursPyramid Healthcare
Allentown, PA4 days ago- Description Position: Utilization Review Intake Coordinator Location: Remote/ Hybrid our of Exeter, NH or South Burlington,VT Employment Status: Full-time, non... ...Annual volunteer day Annual tuition reimbursement Annual health and wellness reimbursement Employee appreciation...Remote workFull timeTemporary workSummer workFlexible hoursShift work
$29.54 - $44.31 per hour
...Job TitleFacilitates coordination of reimbursement processes... ...not offer a hybrid or remote optionResponsibilities... ...Completes concurrent reviews and assists with... ...stay market competitive.Health and well-being:Medical... ...coverage.Access to 24/7 mental health and well-being...Remote workTemporary workReliefFlexible hoursShift workUC Health
Fort Collins, CO4 days ago- ...Management Company LLC is seeking a clinical reviewer for behavioral health with an active North Carolina license. The role focuses on evaluating mental health and substance abuse care,... .... The ideal candidate has BH utilization review experience, strong communication...Remote work
Centene Management Company LLC
United States3 days ago $27.02 - $48.55 per hour
...Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and... ...have the flexibility to work remotely from their home anywhere in the... ...improve quality and appropriate utilization of services Provides education to...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Bismarck, ND3 hours ago- ...Centene Corp. seeks an Utilization Review Clinician in a remote role requiring Georgia licensure. You will review mental health and substance use services, handling prior authorizations and concurrent inpatient reviews while collaborating with providers and medical directors...Remote work
Centene Corporation
Brooklyn, NY3 hours ago - ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health based in North Carolina. You will evaluate treatment plans, perform prior authorizations, and conduct concurrent reviews for mental health and substance use services. Ideal candidates hold a master...Remote workFlexible hours
IntelliResume
Raleigh, NC1 day ago $2,210 per week
...in personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...States where employed. For mental health/substance abuse,...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hoursHines
Freeport, IL4 days ago- ...Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, determine medical necessity, and support appropriate utilization. Remote work within the Central Time Zone is available with a Monday–Friday 8am–5pm schedule and occasional...Remote workMonday to Friday
Centene Corporation
Bismarck, ND3 hours ago - ...Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental health and substance use services. This remote role may require on-site travel to Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care...Remote workFull time
Umpqua Health
United States1 day ago - ...Centene Corporation is seeking a fully remote Behavioral Health clinician to perform clinical reviews for mental health and substance use services. The role follows... ...collaboration with providers and medical leadership to ensure appropriate care and utilization. #J-18808-Ljbffr...Remote workMonday to Friday
Centene Corporation
Wausau, WI21 hours ago - ...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
Optum
Tucson, AZ2 days ago $50k
...authorizations, concurrent reviews, and internal utilization review assessments... ...peer-to-peer reviews and coordinate urgent/expedited appeals... ...Bachelor’s degree in a health or behavioral health-related... ...Clinical Social Worker, Licensed Mental Health Counselor) How to...Remote workSanta Barbara Cottage Hospital
United States3 days ago- Centene Corp. offers a fully remote Utilization Review Clinician - Behavioral Health role. The position emphasizes clinical review of mental health and substance use services, with a standard CST schedule and holiday rotation. US-based candidate with graduate nursing or...Remote job
- Gainwell Technologies is seeking a Behavioral Health Prior Authorization reviewer to adjudicate submissions for Substance... ...and Adolescent Day Treatment, and Adult Mental Health Day Treatment. This 100% remote role involves utilization review and quality assurance with no...Remote job
- ...Utilization Review Specialist Remote, United States About the Role The purpose of this position is to ensure that the utilization process... ...thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-...Remote work
Charlie Health
United States4 days ago - ...Supporting Clinical Operations in a full-time remote capacity, the Utilization Management Coordinator will manage intake, prior authorization, and clinical coordination... ...required documentation is present for clinical review Conduct outbound calls to members and providers...Remote workFull time
Virtual Vocations Inc
United States1 day ago - ...Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated... ...Life Insurance Flexible Spending or Health Savings Account Generous Paid Time Off... ...clinical experience in a psychiatric or mental health setting. Experience in...Local areaWork from homeMonday to FridayFlexible hoursDay shift
Universal Health Services
Danville, VA1 day ago - ...package that includes outstanding health care, generous 401(k) match,... ...is looking to hire a TXDOT Utility Coordination Engineer BGE, Inc. is a... ...from work programs to include remote work options, dependent care... .../quality control (QA/QC) reviews of field data and deliverables...Remote workLocal areaImmediate startRelocationFlexible hours
BGE
Austin, TX2 days ago - ...What Your Day Will Look Like: As a Utility Coordinator, you'll review construction improvement plans to identify utility conflicts and collaborate... ..., paid parental leave, and eligibility for hybrid and remote work options for some employees based on role responsibilities...Remote workFull timePart timeFor contractorsWork experience placementLocal areaRelocationFlexible hours
CONSOR Engineers
El Paso, TX3 days ago - ...Join our team as a remote full time days and every... ...weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get... ...continued education, 24/7 mental health support and more.... ...resources. Recommends and coordinates timely transfers to appropriate...Remote workFull timeWork at officeWeekend work
INTEGRIS Health
United States1 day ago - ...Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee... ..., diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a...Work at officeLocal areaImmediate startShift work
Universal Health Services
Mountain City, TN2 days ago - ...Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Our Mission: Enhancing the lives of those we serve... ...harassment), sexual orientation, marital status, physical or mental disability, military status or discharge history, or...Full timePart timeWork at officeFlexible hoursShift workWeekend work
Citizens Health
Colby, KS21 hours ago - ...Utilization Review Coordinator Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone... ..., diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a...Work at officeLocal areaShift work
Universal Health Services
Boone, NC1 day ago - ...hospitalization programs. Excellence in behavioral health programs for children, adolescents and... .... Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and... ...required Six months psychiatric utilization review either for hospital or external...Local areaFlexible hours
Universal Health Services
Washington DC2 days ago $60k - $69k
...JOIN OUR TEAM AS A UTILIZATION REVIEW COORDINATOR! Schedule: Monday - Friday 7a-3:30p or 7:30a- 4p Your Work Matters How will you make... ...Education & Licensure: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master's...Full timeMonday to FridayFlexible hours2014 HEALTH LLC CHICAGO BEHAVIORAL HOSPITAL
Des Plaines, IL1 day ago
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!
Related searches
- retail coordinator Boca Raton, FL
- school coordinator Boca Raton, FL
- uat coordinator Boca Raton, FL
- coordinator transportation Boca Raton, FL
- weekend coordinator Boca Raton, FL
- engagement coordinator Boca Raton, FL
- certification coordinator Boca Raton, FL
- healthcare coordinator Boca Raton, FL
- lab coordinator Boca Raton, FL
- licensing coordinator Boca Raton, FL