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
- ...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...SuggestedTemporary workPart timeRelief
- 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...SuggestedTemporary workWork at office
- ...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
$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...SuggestedDaily paidFull timePart timeFlexible hoursShift work$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...SuggestedImmediate startShift workWeekend workAfternoon shift$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- ...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 timeWork at officeLocal areaRelocationMonday to FridayFlexible hoursDay shift
$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 payFull timePart timeWork at officeMonday to FridayFlexible hoursWeekend work- ...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
$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 payPart timeImmediate startRelocation packageMonday to FridayFlexible hours$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 timeWork at office$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 payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift- 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
$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 payLocal areaImmediate start- 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 timePart timeWork at officeWeekend workAfternoon shift
$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 timeReliefMonday to FridayFlexible hoursAfternoon shift- ...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 timeWork at office
- ...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...
$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 placementWork at officeLocal area$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 paidFull timeMonday to FridayFlexible hours- ...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
$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 areaShift work- ...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 contractorsWork at officeFlexible hours
$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 areaFlexible hoursWeekend workAfternoon shift- ...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 officeMonday to Friday
$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 payFull timePart timeWork experience placementWork at officeLocal area$62k
...states. We are seeking a Full-Time Behavior Support Specialist to provide support in Brooklyn, NY to... ...situations. Ingenuity and creativity must be utilized when determining the best training... .... For further information, please review the Know Your Rights notice from the...Full timeLocal areaImmediate startFlexible hours- Behavioral Health Specialist, PRN About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations...Work experience placementReliefLocal areaFlexible hours
- ...an alert: Analytical Specialist - Clinical Transplantation... ...Sep 12, 2026 At Duke Health, we're driven by a... ...duties: Perform final review of high-complexity HLA... ...of work, procedures utilized, and test results; coordinate... ...this by demonstrating behaviors that focus on...Temporary workDay shiftAfternoon shift
- 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
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