Remote Utilization Review Specialist - Behavioral Health
Dove Recovery
- Remote job
Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires collaboration with clinical and billing teams to ensure compliance with documentation standards for timely authorizations. The ideal candidate has at least 2 years’ experience in Utilization Review, strong communication skills, and knowledge of Medicaid MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-Ljbffr Dove Recovery
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field required...Remote work$60.2k - $107.4k
...Inspire Health Alliance is seeking a Behavioral / Mental Health Care Advocate to manage case management and utilization review for behavioral health and substance abuse cases. The position requires... ...treatment outcomes. This fully remote role offers flexibility in working...Remote work- ...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... ...preferred. Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...SuggestedTemporary workPart timeRelief
- Utilization Review Specialists Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations... ...preferred Experience Minimum 1 year of experience in behavioral health, healthcare, or treatment setting preferred Experience...SuggestedFull timeTemporary workWork at officeFlexible hours
- ...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
- Voyages Behavioral Health of Conroe is looking for a Utilization Review Coordinator to oversee the review of admissions and stays, working closely with a dedicated treatment team. You will ensure compliance with industry standards and facilitate communication with insurance...
- Thrive Behavioral Hospital in Las Vegas, Nevada, is seeking a dedicated Utilization Review Specialist to support quality behavioral health services. You will conduct utilization reviews to determine medical necessity, collaborate with treatment teams, and communicate with...
- Humana is offering a Utilization Management Behavioral Health Registered Nurse (RN) Internship for transitioning military service members and military spouses. This role involves conducting clinical reviews, communicating with healthcare providers, and ensuring documentation...Remote workInternship
$75k
...Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing... ...competitive salary of $75,000/year along with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a...Remote jobMonday to Friday- ...seeking a Licensed Registered Nurse for a remote position focused on admissions, case management, and utilization management. This role involves reviewing service requests for compliance and... ...and generous benefits including health coverage, career growth support, and...Remote jobFull time
- ...Position for Inpatient and Outpatient (PHP/IOP) Utilization. Your Experience Matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...care to others. As a Utilization Review Specialist joining our team, you're embracing a vital...Relief
- Ascension Health is seeking a Licensed Registered Nurse for a remote role within Ascension Network Services. This position focuses on healthcare services related to admissions, case management, and utilization review, ensuring compliance with regulations. The ideal candidate...Remote job
- Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions... ...ensuring compliance with federal regulations. You will review service requests for medical necessity and assist with...Remote job
- Memorial Physician Practices is seeking a Utilization Review Specialist in Avondale, AZ. The role involves conducting clinical reviews, analyzing patient admissions, and collaborating with healthcare provider teams. Candidates should have a Bachelor’s degree, a clinical...
- Providence Health & Services is seeking an RN Utilization Review for a remote position. This per diem role includes 8-hour day shifts focused on conducting clinical reviews and utilization management for Southern California ministries. The ideal candidate will have an...Remote jobDaily paidDay shift
- ...Associates! Must have Mental Health and/or Substance Abuse... ...Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained)... ...: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...Performs a clinical review and assesses care related... ...concurrent review of behavioral health (BH) inpatient... ...quality and appropriate utilization of services Provides... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hours- Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical /... ...Utilization Review, Medicaid authorization, Behavioral Health Billing, Case Management, or... ...behavioral health environment. Remote flexibility depending on needs of department...Remote workFull time
- Humana is seeking a Registered Nurse (RN) Intern for a remote position focused on clinical behavioral health. The role includes conducting prior authorization reviews, communicating with healthcare providers, and ensuring compliance with regulations. Applicants should be...Remote workInternship
- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing... ...use disorder, mental health, and autism care fields... ...teams, Board Certified Behavior Analysts, Registered Behavior...Remote workWork at officeFlexible hours
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions... ...use disorder, mental health, and autism‑care fields... ...teams, Board Certified Behavior Analysts, Registered...Remote workWork at officeFlexible hours$60k - $75k
...hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000... ...must have prior UR & clinical experience. Remote hires and applicants without prior...Remote workFull timeWork at office- ...Job Description UR Specialist – Join Camber and Make... ...Impact At Camber Mental Health, we are committed to... ..., high-quality behavioral healthcare. With an Indeed... ...Job Summary The Utilization Review department manages all... ...in office and 3 days remote after successfully completing...Remote workWork at officeMonday to Friday
- ...years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient... ...detoxification, through SUD and mental health outpatient clinics. Utilization Review Specialist Job description Perform duties to authorize and review...Hourly payFull timeWork at officeVisa sponsorshipMonday to FridayWeekend work
- Humana is seeking a Registered Nurse Intern for the National Medicaid team, focusing on prior authorization reviews for behavioral health services. This remote internship is open to transitioning military service members or military spouses, requiring a valid RN license...Remote jobInternship
- A behavioral health facility in San Jose is seeking a Utilization Review Specialist - PRN. You will coordinate inpatient care and assist the staff with reviews and certifications. This role requires an Associate Degree in Nursing and preferably a Bachelor’s or Master’s...Relief
- Capital Health is the region's leader in providing progressive, quality... ...**40**Position Overview**# **Utilization Assistant**JOB CODE:50219FLSA... ....Special Training:Mental, Behavioral and Emotional Abilities:... ...correspondence to appropriate parties for review and response. Follows up for...Full timeTemporary workPart timeWork at officeFlexible hours
- ...healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance... ...an active RN license and have at least two years of behavioral health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr Humana IncRemote jobInternshipWeekday work
- ...sites for the Colorado Health Corp Services... ...forgiveness program. Behavioral Health Specialists and Assessment Specialists... .... This position utilizes the Colorado Juvenile... ...treatment needs by reviewing the youth’s main and... ...training and more. Remote work arrangements for...Remote workFull timeTemporary workPart timeWork experience placementLocal areaFlexible hoursShift work
- ...Hospital, an independent substance use and behavioral health treatment and educational organization... ...health. Position Summary Review and abstract pertinent data from... ...coverage. This position reports to the Utilization Review Director Objectives /...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist - Behavioral Health. Be the first to apply!
- vetting specialist Columbus, OH
- protection specialist Columbus, OH
- mental health specialist Columbus, OH
- outreach specialist Columbus, OH
- community outreach specialist Columbus, OH
- registration specialist Columbus, OH
- accessibility specialist Columbus, OH
- intake specialist Columbus, OH
- bilingual specialist Columbus, OH
- governance specialist Columbus, OH


