Remote Behavioral Health Utilization Clinician
Humana
Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate medical services and determinations for members. This remote role requires a Louisiana-resident license setup and extensive behavioral health expertise, including multiple professional licenses, to support coordinated care.
Candidates should have 3+ years of post-degree clinical and behavioral health experience, strong MS Office skills, and the ability to navigate
#J-18808-Ljbffr- ...Centene Corporation seeks a Behavioral Health Utilization Review professional to perform clinical reviews and assess the appropriateness of mental health and substance use services. This fully remote role supports Ambetter / Marketplace, reviewing requests for inpatient...Remote work
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing authorization requests and inpatient cases across various settings. The role emphasizes collaboration with providers,...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a nationwide...Remote workFull timeDay shift
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for... ...to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a nursing or...Remote job
- Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote job
- Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven...Remote job
- Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels...Remote job
$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse... ...provided are medically appropriate. This fully remote role supports Oregon Medicaid and is ideal for candidates...Remote workFull timeWork at officeFlexible hoursDay shift- Lucet is seeking an Utilization Management Clinician to review initial and concurrent authorizations, coordinating behavioral health care with our provider network and ensuring medical necessity... ...skills. This position is remote with company-provided equipment and requires...Remote job
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use... ...and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and...Remote jobFull timeDay shift
$27.02 - $48.55 per hour
...care related to mental health and substance abuse.... ...Details: This fully remote role supports the Ambetter... ...brand by reviewing behavioral health authorizations... ...States and have prior utilization management or review experience... ...for behavioral health clinicians required. Clinical...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity, conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals...Remote workWork from home
$71.14k - $115.86k
...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees... ...organizations, ensuring data protection and integrity. #LI-Remote Pay ranges vary based on the candidate's work...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours$54.1k - $116.76k
...We’re building a world of health around every individual — shaping a more connected, convenient... ...person, one family and one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM – 8:30 PM EST...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work$54.1k - $142.58k
...We’re building a world of health around every individual — shaping a more connected, convenient and compassionate... ...person, one family and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- Centene Corporation is seeking a qualified clinician to perform clinical documentation reviews and prevention of inappropriate BH utilization. The role focuses on mental health and substance abuse care, with prior authorization and concurrent review responsibilities. Ideal...Remote job
- 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 jobShift workWeekend work
- Centene Corporation offers a fully remote role focused on reviewing behavioral health authorizations for inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm Eastern or Central, with preference for candidates in central...Remote jobMonday to Friday
- HealthEdge in the United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical necessity reviews... ...1+ year in Behavioral Health/utilization management; remote work across time zones as #J-18808-Ljbffr WellframeRemote job
$29.1 - $62.32 per hour
## Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: October 28, 2026 (20 days left to apply): R1051758We’re building a world of health around every individual — shaping a more...Remote jobHourly payFull timeTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursShift workWeekend work$29.1 - $62.32 per hour
...We're building a world of health around every individual - shaping... ...Position Summary Join our Utilization Management team as a Nurse... ...information from providers. Remote Work Expectations This is... ...required. ~3+ years of acute behavioral health and/or substance abuse...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- Comagine Health seeks a Clinical Reviewer to assess medical necessity... ...clinical appropriateness for behavioral health services. The role reviews documentation, conducts utilization reviews, and coordinates with... ...the Portland area, with a remote, home-based setup in Oregon....Remote workWork from home
- ...Supporting utilization management efforts, the full-time Licensed Behavioral Health Clinician will perform clinical reviews and assessments related to mental health and substance... ...the appropriateness of care while working remotely. Key Responsibilities Evaluates treatment...Remote workFull time
$45 per hour
...Behavioral Health Clinician - Remote (Tri-State Area PA, NJ, DE) - Contract - $45.00 Per HR Title: Behavioral Health Clinician Location: Remote... ...in a healthcare setting. • Behavioral health utilization management experience required. • Medical management/...Remote workContract work$90.86k - $136.29k
...Behavioral Health Utilization Management Clinician, SeniorThe Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally...Full timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week- ...Job Title - Behavioral Health Clinician Job Location - Remote but Must Reside in the state of Arkansas Duration - 3+ Months Job Summary... ...in a behavioral health setting, conducting utilization reviews or behavioral health case management....Remote workWork at office
$68k - $75k
...Intensive In-Home Therapy (IHT) Clinician – Pre-Licensed The... ...Licensed) is a master s-level behavioral health professional working toward... ...in accordance with MBHP utilization management standards, including... ...telehealth platforms for remote therapy sessions is...Remote workWork from homeAfternoon shift- ...accommodation or an alternative application process. Licensed Behavioral Health Clinician Full Time Non-SCA REMOTE Licensed Behavioral Health Clinician – Student... ..., and establish individualized treatment goals. Utilize evidence‑based therapeutic interventions, including...Remote workFull timeTemporary workMonday to Friday
- CVS Health is hiring a Behavioral Health Precertification/UM Clinician for a 100% remote role, working Monday-Friday 12:00 PM to 8:30 PM EST. You will review behavioral health... ...license and an RN license, with 1+ year of Utilization Management experience and 3+ years...Remote jobMonday to Friday
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