Remote Mental Health Utilization Review Clinician
Centene Corporation
- Remote job
Centene Corporation is seeking a remote Behavioral Health RN reviewer to assess care related to mental health and substance use disorders. You will participate in weekend/holiday rotations and must hold an RN license active in Washington or a compact state. You will evaluate care plans, perform prior authorizations, and collaborate with medical directors to ensure appropriate services, quality, and outcomes for members across programs. #J-18808-Ljbffr Centene Corporation
- ...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 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 jobFlexible hours
$27.02 - $48.55 per hour
...Purpose Performs a clinical review and assesses care related to mental health and substance abuse.... ...and appropriate utilization of services Provides education... ...for behavioral health clinicians required. Clinical... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours- 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 jobMonday to Friday
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use, ensuring care levels are appropriate... ...necessary. Based in Louisiana, this remote, full-time role offers day shifts,...Remote jobFull timeDay shift
$27.02 - $48.55 per hour
...Purpose: Performs reviews of member's care and health status of Applied Behavioral... ...and appropriate utilization of services... ...behavioral health clinicians required. Behavioral... ...or LMHC-Licensed Mental Health Counselor required... ...to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours- Centene Corporation is seeking a remote Behavioral Health Reviewer to assess mental health and substance abuse care, perform prior authorizations, and guide discharge planning within a clinical setting. Candidates should have 5+ years in behavioral health and relevant...Remote jobMonday to Friday
- ...organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates...Remote jobFlexible hours
- Centene Corporation seeks a Clinical Reviewer focused on mental health and substance use care. The role conducts clinical reviews, prior authorizations... ...with BH providers and leadership. The position is remote within the Central Time Zone, with standard hours Mon-Fri...Remote job
$1,966 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 timeWork at officeWork from homeMonday to FridayFlexible hours- ...Remote Full Time Days And Every Other Weekend RN Case Manager -Utilization ReviewJoin our team as a remote full time days and every... ...Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK.Get to... ...continued education, 24/7 mental health support and more.Take...Remote workFull timeWork at officeShift workWeekend work
- ...Centene Corporation is seeking a Behavioral Health Utilization Review clinician to evaluate and authorize BH services, ensure appropriate levels of care, and collaborate with providers and medical leadership. This role emphasizes quality improvement, case presentations...Remote work
- ...Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for... ...coordination of care across providers. The position offers remote flexibility with a 8am–5pm schedule on days (Tuesday-...Remote workWeekend work
- ...AmeriHealth Caritas is seeking a BHUM Reviewer to conduct medical necessity... ...clinical knowledge in mental health and substance use to support appropriate... ...credentials, experience in utilization management, and the ability to work remotely within the US; remote options and...Remote workWeekday work
- ...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
- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting, Inc. Pay: Competitive weekly pay... ...ASAP About the Position Key Responsibilities ~100% REMOTE role but candidate has to be in (PA, NJ or DE) ~ Equipment will...Remote workWeekly payFull timeImmediate start
- ...UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While... ...right time. This is a fully remote position with a Monday-Friday... ...populations and/or community mental health Experience with...Remote workMonday to Friday
- ...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 workFull timeWork from home
$50k
...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field... ...Clinical Social Worker, Licensed Mental Health Counselor) How to Stand Out...Remote work$38 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Fort Myers, FL Agency: Lancesoft Inc Pay: $... ...Travel Registered Nurse – Utilization Review (Remote) Location: Fort Myers, Florida Facility: Lee Health – Corporate Center Department: Utilization...Remote workHourly payFull timeContract workWork experience placementMonday to FridayShift workWeekend work- ...Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews of mental health and substance use authorization requests across levels of care. This role supports medical necessity, coding accuracy, and policy compliance...Work at office
- 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...Remote job
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- ...Centene Corporation seeks a remote Behavioral Health reviewer to support the Texas Ambetter Inpatient Behavioral Health population. The role requires 4 x 10-hour shifts weekly with Saturday availability; weekend differential is offered. You will evaluate care, perform...Remote workShift workWeekend work
- Elevance Health seeks a Psychologist Reviewer - ABA to partner with internal teams to ensure appropriate care per medical necessity criteria. Remote/work-flexible role with required in-person training... ...license, with experience in utilization review and testing. #J-18808...Remote workFlexible hours
$68.89k - $92.14k
...Pay Plan Title: Utilization Management Nurse Working... ...Management Nurse – Physical Health FLSA Status:... ...8 Office Location: Remote within North Carolina.... ...individuals with serious mental health needs, substance... ...performs clinical reviews and coordinates care to...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality...Remote workContract work
- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote workFlexible hours
- ...Providing first-level admission and continued stay case reviews, the full-time Registered Nurse Utilization Review will work remotely to assess cases using client-specific guidelines and evidence-based criteria while ensuring appropriate clinical documentation and orders...Remote workFull time
- ...WellSense Health Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient medical necessity, monitor... ...care teams. This fully remote, full-time role requires an... ...management to ensure timely reviews, document outcomes, and...Remote workFull time
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