Remote ABA Utilization Reviewer - Psychologist
Elevance Health
Los Angeles, CA
- Remote job
Elevance Health is seeking a Psychologist Reviewer – ABA for virtual/remote work with in-person onboarding. You will collaborate with providers and Medical Directors to review care levels, focusing on a wide range of outpatient therapies and assessments, guided by Medical Necessity Criteria. The role includes pre-certification, concurrent reviews, and mentoring staff on testing programs. Requires a Ph.D./Psy.D in psychology and an active license; 2+ years in behavioral health preferred. #J-18808-Ljbffr Elevance Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote ABA Utilization Reviewer - Psychologist in Los Angeles, CA vacancy
$87.7k - $157.8k
...flexibility. Job Description Centene is Hiring – Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist Reviewers (Applied... ...to provide education on best practice models and utilization management processes Interact with the Medical Director...Remote workFull timePart timeWork at officeFlexible hoursCentene Corporation
Sacramento, CA2 days ago- Centene Corp. invites applications for a Remote Psychologist Reviewer (ABA) to support youth with Autism across licensed states including LA, AR,... ...role emphasizes evidence-based behavioral health care and utilization management. The position requires a PhD or PsyD in...Remote job
$91.7k - $163.7k
...Connecting. Growing together.Psychologist Peer Revieweris for an Outpatient... ...determinations.Services reviewed may include, but are not limited... ...the flexibility to work remotely * from anywhere within the U.... ...standard outpatient services (e.g. ABA, Psychosocial Rehabilitation,...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient services in Florida. The role... ...Medicaid, and Medicare cases, including ABA and other services. You will... ...Monday-Friday schedule (8:30am-5pm CST). Remote work is possible for Florida residents...Remote jobMonday to Friday
- Centene Corporation is seeking a remote Psychologist Reviewer (Applied Behavior Analysis) focusing on autism. You will authorize and monitor care for behavioral health, collaborating with providers to ensure medical necessity and appropriate care. Requirements include...Remote job
- Centene Corporation is hiring remote psychologists reviewers specializing in ABA to support youth with autism. The role requires an active Louisiana psychology license and BCBA preferred. Responsibilities include peer reviews, provider education, and clinical authorization...Remote job
- Centene Corporation is seeking a Remote Psychologist Reviewer (Applied Behavior Analysis) to authorize and monitor care for behavioral health problems using clinical information and internal criteria. The role requires a PhD in psychology, an active license, and BCBA/BCBA...Remote job
- UnitedHealth Group is seeking a Florida-licensed Psychologist to serve as a Peer Reviewer for outpatient/ABA services and to handle insurance determinations in... ...ensuring compliance with federal and state requirements. Remote work is available for Florida-based employees,...Remote jobFull time
$91.7k - $163.7k
Optum seeks a licensed psychologist (Ph.D./Psy.D.) in Florida for a full-time Psychologist Peer Reviewer role focused on outpatient public sector and ABA cases. You will apply clinical criteria to... ...standard M-F schedule (8:30am-5pm CST). Remote work is available for Florida...Remote jobFull time- Optum, part of UnitedHealth Group, seeks a Psychologist Peer Reviewer in a full-time remote-capable role. You will apply clinical criteria to Commercial/Medicaid/Medicare cases to determine coverage, reviewing ABA and other services and contributing to policy-compliant...Remote workFull time
- Acentra Health is seeking a BCBA Clinical Reviewer to conduct administrative and process-based reviews of ABA medical records, ensuring documentation complies with... ...accuracy and completeness of ABA documentation. This remote position is based in Minnesota with Central Time...Remote job
$93.12k - $160.63k
Anticipated End Date:2026-08-15Position Title:Psychologist Reviewer - ABAJob Description:Work location -... ...by law.The Psychologist Reviewer - ABA is responsible for collaborating with... ...to ensure appropriate and consistent utilization of plan benefits, out of network...Full timeTemporary workWork experience placementWork at officeLocal areaDay shift1 day per week$86k - $154.7k
...Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first... ...Description Centene is hiring a Remote Psychologist – Join Our Kentucky Medicaid... ..., as well as participating in Utilization Management clinical rounds. We’re Seeking...Remote workFull timeWork at officeRelocation packageFlexible hoursRemoteWorker US
Brooklyn, NY2 days ago- ...Beyond Blue Job Posting Title: Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor, Utilization Review Work Location: UK Chandler Hospital, Pavilion A Grade Level: 11 Type of Position:...Remote workFull timePart timeReliefInternshipShift work
University of Kentucky
United States1 day ago - ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns... ...Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid...Remote workMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Newtown Square, PA3 days ago $86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily... ...Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend workAmeriHealth Caritas
Washington DC1 day ago- ...Corporation in Florida is seeking a qualified professional to review ABA services and member health status to ensure medical appropriateness... ..., and customer-service skills are essential for success in a fast-paced remote environment. #J-18808-Ljbffr Centene CorporationRemote job
- Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will review... ..., 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr Comagine HealthRemote job
- 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 jobFull time
$219k - $286.9k
...Physician Reviewer - Utilization Management Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team.... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United States...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
United States1 day ago- ...Job Description Job Description Remote but must be able to get to Newark, Nj to pick up and drop off equipment This position... ...end reports. Responsibilities: 1. Conducts on-site/virtual reviews at participating provider offices to assess environment, quality...Remote work
Winston Medical Staffing
Newark, NJ12 days ago - 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 jobFull timeWork from home
- ...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 $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... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with...Remote jobWork from home$85k - $101k
...talented and passionate Clinical Psychologist to join our Diagnostic... ...LOCATION: (HYBRID): 1 day/week remote + 4 days in-office (North Glendale... ...teams (i.e., speech therapy, ABA therapy, Clinical Family... ...therapeutic modalities that can be utilized with individuals with...Remote workHourly payFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours1 day per weekArizona Autism United
Phoenix, AZ2 days ago$174.07k - $374.92k
...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient... ...at a time. Company: Oak Street Health Location: Remote/ Treehouse Role Description: This full-time role...Remote workHourly payFull timeAvery Healthcare Group Ltd.
United States4 days ago- ...physician with strong clinical and UM background to cover delegated utilization management across multiple territories. The role requires... ..., and 2+ years in hospital medicine, with utilization review experience preferred. You will coordinate with PCP/SNF meetings...Remote job
- ...Orthopedic Spine Surgeon Reviewer Dane Street, a nationally recognized Independent Review Organization (IRO), is... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
- 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
- ...Full-time Work Location: Remote - FL Note: Candidates... ...Responsibilities Conduct peer reviews with psychologists, behavioral health... ...on best practice models and utilization management processes Interact... ...-based practices For ABA Reviewers only: Must have...Remote workFull time
SPECTRAFORCE
Florida, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote ABA Utilization Reviewer - Psychologist. Be the first to apply!
Related searches
- psychologist Los Angeles, CA
- counseling psychologist Los Angeles, CA
- sports psychologist Los Angeles, CA
- organizational psychologist Los Angeles, CA
- prison psychologist Los Angeles, CA
- assessment psychologist Los Angeles, CA
- spanish psychologist Los Angeles, CA
- correctional psychologist Los Angeles, CA
- criminal psychologist Los Angeles, CA
- senior network engineer remote Los Angeles, CA