Behavioral Health Utilization Review Specialist

Memorial Physician Practices

Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical criteria, coordinate with managed care organizations, complete pre- and post-certifications, and help the treatment team understand coverage. #J-18808-Ljbffr

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Behavioral Health Utilization Review Specialist in Brooklyn, NY vacancy

Utilization Review Specialist, Behavioral Health
...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...
Suggested
Temporary work
Part time
Relief
Memorial Physician Practices
Brooklyn, NY
4 days ago
Utilization Review Specialist- Healthcare
Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to...
Suggested
Temporary work
Work at office
Raleigh Oaks Behavioral Health
Brooklyn, NY
5 days ago
RN Utilization Review Specialist
...is seeking a qualified RN to support clinical member services review and assessment processes. You will verify medical necessity, align... ...integrated care across the continuum. The role emphasizes utilization management, adherence to timelines, and collaboration with multidisciplinary...
Suggested
Molina Healthcare
Brooklyn, NY
18 hours ago
RN Utilization Review Specialist
$110k
...Summary Comprehensively plans with the health care team to ensure patient needs are met... ...time frame and with the most efficient utilization of resources. Carries out activities related... ...documentation for justification. Reviews the patient’s plan of care in conjunction...
Suggested
Daily paid
Full time
Part time
Flexible hours
Shift work
Montefiore Nyack
Brooklyn, NY
4 days ago
Behavioral Health Specialist I
$18.13 - $29.9 per hour
...Director (Partial) and Unit Charge RN, the Behavioral Health Specialist I (BHS I) is responsible for... ...policies and procedures. Attends peer review and staff meetings as assigned. Maintains... ...in a safe, effective manner, utilizing the least restrictive, safe patient care...
Suggested
Immediate start
Shift work
Weekend work
Afternoon shift
Bradley Hospital
Brooklyn, NY
3 days ago
Behavior Intervention Specialist
$36 per hour
...Behavior Intervention Specialist Company Overview: As a leading provider of residential... ...and dignity and to utilize person centered supports designed... ...Support Plan (BSP) and reviews semi-annually and updates... ...the agency's electronic health platforms, i.e. PrecisionCare...
Local area
Services for the UnderServed
Brooklyn, NY
18 hours ago
Behavioral Health Specialist
...Friday, September 4, 2026 at 6:00 AM Behavioral Health Specialist, Full time, Day Shift, Walworth/Racine... ...rights restoration. Monitoring BH Utilization and Quality - Coordinator Meets regularly... ...the Behavioral Health Manager to review complex cases, develop and refine policies...
Full time
Work at office
Local area
Relocation
Monday to Friday
Flexible hours
Day shift
Community Care, Inc.
Brooklyn, NY
1 day ago
911 Crisis Behavioral Specialist
$52k - $61.2k
...Program (CCPD) is an integral part of our behavioral health collaborative at the City's 911 Waco... ...resources. The 911 Crisis Behavioral Specialist is embedded on the 9th floor of the... ...use evidence-based interventions and utilize a trauma-informed, person-centered, and...
Full time
Temporary work
Local area
Monday to Friday
HOTBHN
Brooklyn, NY
1 day ago
Behavioral Health Specialist (Internal title: Clinical Care Coordinator)
$1,500 per month
...BEHAVIORAL HEALTH SPECIALIST (Internal title: FBH Clinical Care Coordinator) Bremerton, WA CCSWW's Family... ...individual and family therapies). Utilize parent/family expertise in problem solving... ....org Note to Internal Candidates: HR reviews internal compensation and determines...
Hourly pay
Part time
Immediate start
Relocation package
Monday to Friday
Flexible hours
National Association of Black Social Workers Inc
Brooklyn, NY
3 days ago
Behavioral Health Specialist
$83.64k - $115.77k
...99 Edmonds, WA 98026, USA Community Health Center of Snohomish County offers competitive... .... Job Summary The Social Worker/Behavioral Health Specialist (Certified) operates in a team with... ...CHC’s credentialing and privileging review upon hire and re-credentialing as appropriate...
Full time
Work at office
Chcsno
Brooklyn, NY
50 minutes ago
Utilization Review Specialist
$38.5k
...Utilization Review Specialist Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization GMH - Utilization Review Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will...
Hourly pay
Full time
Part time
Work at office
Monday to Friday
Flexible hours
Weekend work
Ok.Gov
Brooklyn, NY
1 day ago
Utilization Review Specialist
...Utilization Review Specialist – North Little Rock, AR (72113) Are you an experienced healthcare professional looking for an opportunity to make a... ...willingness to learn systems such as PCC, Care Auth, Net Health, Availity , and Home & Community services Proficient in Microsoft...
Work at office
The Wellstone Group
Brooklyn, NY
3 days ago
Behavioral Health Specialist: Part-Time/Evening Hours
$57 - $65 per hour
...for an accommodation or an alternative application process. Behavioral Health Specialist: Part-Time/Evening Hours ** Professional Lake Forest, CA,... ...in the health center’s quality assurance and peer-review programs. Cooperate in investigations, patient grievances,...
Hourly pay
Part time
Work at office
Local area
Immediate start
Monday to Friday
Flexible hours
Weekend work
Afternoon shift
Camino Health Center
Brooklyn, NY
3 days ago
Behavior Health Specialist- Emergency Foster Care
We're Hiring! Now Looking For: Behavior Health Specialists - Emergency Foster Care Schedules: Afternoon/Evening, Weekend Shifts Full Time and Part... ...that are therapeutic, respectful and trauma sensitive. Utilizes preventative and de-escalation techniques that are consistent...
Full time
Part time
Work at office
Weekend work
Afternoon shift
OLV Human Services
Brooklyn, NY
4 days ago
Behavior Specialist
$17 per hour
Olive Vista Behavioral Health Center Pomona, CA 91766, USA Description Are You Looking for Your... ...Career? We are now hiring a Behavioral Specialist to join our dynamic team! Salary Range... ...employment laws.For further information, please review the Know Your Rights notice from the...
Hourly pay
Local area
Immediate start
Olive Vista Behavioral Health Center
Brooklyn, NY
4 days ago
Remote Behavioral Health Prior Authorization Specialist
Gainwell Technologies seeks a Behavioral Treatment Services Prior Authorization Reviewer to adjudicate Medicaid behavioral treatment requests and determine medical necessity in a fully remote role. You will collaborate with providers and internal teams to ensure timely...
Remote job
Gainwell Technologies
Brooklyn, NY
4 days ago
Behavior Intervention Specialist (BIS)
$64.35k
...Behavior Intervention Specialist Under supervision of BIS leadership, Behavior Intervention... ...from multiple sources and utilizes findings to conduct... ...meetings and case reviews, including scheduled Person... ...and registration in Mental Health Counseling issued by the New...
Full time
Relief
Monday to Friday
Flexible hours
Afternoon shift
YAI
Brooklyn, NY
1 day ago
Behavior Intervention Specialist
...Behavior Intervention Specialist Under the supervision of the Family Care Coordinator... ...assessment/evaluation reviews, annual clinical trainings... ...disabilities, and medical and mental health services. Principle... ...planned contingencies) utilizing baseline procedures and...
Part time
Work at office
Little Flower Children and Family Services
Brooklyn, NY
3 days ago
Remote Behavioral Health Wellbeing Specialist
...Optum is hiring a Clinical Wellbeing Specialist to provide telephonic and digital engagement with members, focusing on behavioral health and crisis support. The role includes risk assessment, case management, and coordination with benefits and resources across vendors....
Remote work
Ishe
Brooklyn, NY
4 days ago
Harm Reduction Specialist
$60k
...The Harm Reduction Specialist provides engagement and... ...and alcohol use, sexual health and self-harm, using a... ...individuals engaging in risky behaviors. In addition, the Harm... ..., including reviewing service plans with program... ...and safety hazards, utilizing individualized strategies...
Local area
Flexible hours
Weekend work
Afternoon shift
Services for the UnderServed
Brooklyn, NY
3 days ago
Behavioral Health Specialist - BHS
...OVERVIEW Delta-T Group's mission is to provide cost-effective, reliable, and innovative staffing solutions for social services, behavioral health, allied health and special education staffing, for the betterment of those needing care and support. DTG ADVANTAGES Establish...
Work at office
Monday to Friday
Voices for Voices
Brooklyn, NY
4 days ago
Housing Specialist
$49.92k
...currently employed at Vivent Health, please log into UKG... ...medical care, behavioral health, pharmacy, research... .... The Housing Specialist will play a crucial role... ...with credit reports, utility arrears, criminal records... ...Please follow this URL to review one such program and...
Work experience placement
Work at office
Local area
Vivent Health
Brooklyn, NY
18 hours ago
Child & Adolescent Behavioral Health Specialist
...Bradley Hospital in Providence, RI is seeking a Behavioral Health Specialist I to join the inpatient/partial care teams. Under supervision of the Clinical Nurse Manager, this role provides care and safety for children and adolescents and helps implement the milieu. The...
Bradley Hospital
Brooklyn, NY
2 days ago
Behavioral Health Specialist
$68.6k - $85.7k
...Behavioral Health Specialist Department: Social Work Employment Type: Full Time Location: Holland, MI Reporting To: Benjamin Barrett Compensation: $68,600 - $85,700 / year Description Schedule: Exempt, minimum 40 hours per week | Full Time | Monday - Friday | 8:00am -...
Daily paid
Full time
Monday to Friday
Flexible hours
Brio Living Services
Brooklyn, NY
19 hours ago
Behavioral Health Specialist
$17 - $25.63 per hour
...on the coordination of activities and a positive peer community utilizing TBRI strategies. Essential Functions: Engages, inspires, and... ...opportunities to maintain an up-to-date knowledge of safeguarding health, safety, and local policy developments. Consistently utilizes...
Local area
Shift work
Lighthouse Youth Services, Inc.
Brooklyn, NY
1 day ago
Event Specialist
...actively seeking an Event Specialist. Did you know as a... ...well? In addition to health insurance, dental, vision... ...required to influence behavior, change an opinion, or... ...motor vehicles, utility carts, and standard office... ...work, and the work is reviewed for results achieved....
For contractors
Work at office
Flexible hours
Jacksonville
Brooklyn, NY
2 days ago
Prevention Specialist
$24 - $24.25 per hour
...access for all. At Vivent Health, we’re building a... ...together medical care, behavioral health, pharmacy, research... ...Expectations. The Specialist, Prevention is responsible... ...and activities utilizing established internal data... ...Please follow this URL to review one such program and...
Hourly pay
Full time
Part time
Work experience placement
Work at office
Local area
Vivent Health
Brooklyn, NY
2 days ago
Population Health Specialist
...removing both the physical and behavioral barriers that prevent... ...care for patients of Family Health Centers (FHC), as well as ways... ...services. EXAMPLES OF THE WORK Reviews patient care plan data provided... ...to FHC patients who are over‑utilizing emergency room visits, and coordinates...
Monday to Friday
Weekend work
Day shift
Afternoon shift
Louisville Metro Government
Brooklyn, NY
2 days ago
Behavior Specialist
$28 - $29 per hour
...alternative application process. Behavior Specialist Full Time Troy, NY, US 4... ...for classroom staff. Utilize positive behavior support strategies... ...with behavior plans. Review and revisit child behavior plans... ...Cash payment for waiving health insurance PTO and Sick time...
Hourly pay
Full time
Temporary work
Visa sponsorship
Flexible hours
Ceoempowers
Brooklyn, NY
1 day ago
Compassionate Behavioral Health Intake Specialist
Chartiers Center in Washington County Clinic, Washington, PA, is seeking a Screening & Intake Specialist to provide compassionate support to people facing behavioral health challenges. The role includes screening initial requests, handling intake and assessment activities...
Hourly pay
Chartiers Center, Inc.
Brooklyn, NY
5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Behavioral Health Utilization Review Specialist. Be the first to apply!