Remote Behavioral Health UM Clinician - Precertification
CVS Health Corporation
- Remote job
CVS Health Corporation is seeking a Utilization Management Clinician Behavioral Health - Precertification for 100% remote work. You will review authorization requests for inpatient mental health, detox, and substance use programs, ensuring medical necessity and appropriate levels of care. This full-time role requires an active master's-level behavioral health license or RN with psychiatric experience, 1+ year UM experience, 3+ years inpatient BH in a hospital setting, and the ability to work #J-18808-Ljbffr CVS Health Corporation
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests and determine medical necessity for behavioral health services. This 100% remote role offers a consistent weekday schedule and focuses on inpatient mental health, detox...Remote jobWeekday work
- 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 authorizations, ensure appropriate levels of care, and support timely, evidence-based treatment...Remote jobMonday to Friday
$54.1k - $116.76k
...We’re building a world of health around every individual — shaping... ...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM –... ...Behavioral Health Precertification/UM Clinician, you will review...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work- CVS Health Corporation is seeking a Behavioral Health Utilization Management Clinician (Precertification) to review behavioral health authorization requests, determine medical necessity... ...substance use programs. This is a 100% remote, weekday position. You will assess...Remote jobWeekday work
- ...CVS Health Corporation seeks a Remote UM Nurse Consultant RN Precertification Nurse (Telework) to review clinical information, coordinate with providers, and authorize services under evidence-based criteria. The role is full-time, remote, with preference for Virginia...Remote workFull time
- Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits. You will interpret criteria, communicate with providers and members, and require independent...Remote job
$65k - $88.6k
...part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses... ...skills to troubleshoot and resolve within a remote environment Preferred Qualifications Behavioral Health UM experience, performing medical necessity reviews...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly...Remote workPermanent employmentFull timeWork at officeLocal area$45 per hour
...Behavioral Health Clinician - Remote (Tri-State Area PA, NJ, DE) - Contract - $45.00 Per HR Title: Behavioral Health Clinician Location:... ...management experience required. • Medical management/precertification experience preferred. • Exceptional communication and...Remote workContract work- ...Job Title - Behavioral Health Clinician Job Location - Remote but Must Reside in the state of Arkansas Duration - 3+ Months Job Summary... ...Utilization Review (UR) and Utilization Management (UM) within behavioral health or medical settings....Remote workWork at office
$32 - $45 per hour
...Behavioral Health Clinician/Psych Nurse needed for a REMOTE contract opportunity with Yoh's insurance client located in Philadelphia... ...experience is desirable. ~ Medical management/precertification experience preferred. ~ Proficiency utilizing...Remote workContract workMonday to Friday- ...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
- ...a growing healthcare team, a Pennsylvania Licensed Behavioral Health Clinician will manage remote case evaluations and authorizations for medically necessary... ...management is desirable Medical management or precertification experience preferred Proficiency in Microsoft...Remote workContract workWork at office
- ...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
- ...Northeast Family Services is seeking a Home Based HBTS/PASS Clinician to support families in-home with behavioral assessments and treatment planning in a flexible afternoon/evening schedule. This role emphasizes compassionate care, collaboration with families, and thorough...Remote workWork from homeFlexible hoursAfternoon shift
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services... ...appropriate level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
- ...Alliance Health in North Carolina seeks a Behavioral Health Clinician to perform telephonic screening, triage and referrals for individuals seeking services. The... ...Medicaid funded emergencies. The position supports remote work from home with a 6–8 week virtual training...Remote workPermanent employmentWork from home
- ...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
- CVS Health is seeking a remote Behavioral Health Clinician to provide high-quality mental health care from a home-based setting. This independent, licensed professional will assess, plan, and coordinate care for members with complex behavioral health and substance use...Remote jobWork from home
- Comagine Health seeks a Clinical Reviewer to assess medical necessity and clinical appropriateness for behavioral health services. The role reviews documentation, conducts utilization... ...required across the Portland area, with a remote, home-based setup in Oregon. Candidate...Remote workWork from home
- Centene is seeking a Supervisor, Behavioral Health Utilization Management to lead the UM BH utilization review team and... ...‑quality care for members. This remote role reports to senior leadership... ...competitive salary. You will supervise BH clinicians, monitor resources, implement...Remote jobFull time
- ...Isite Technologies Inc is looking for a passionate Behavioral Health Clinician to work remotely and support individuals facing mental health challenges. This role requires active Arkansas licensure in Social Work, Counseling, or Psychology and a relevant master's degree...Remote work
$70k
SAGE Counseling is seeking a Full-Time Lead Assessment Clinician to conduct assessments, diagnoses, and intakes for new clients. The... ...will review and approve completed assessments. Must hold a Behavioral Health License (LPC, LAC, LMSW, LCSW) and reside in Arizona, with...Remote jobFull timeWork from homeMonday to Friday- ...Supporting utilization management efforts, the full-time Licensed Behavioral Health Clinician will perform clinical reviews and assessments related to... ...abuse, ensuring the appropriateness of care while working remotely. Key Responsibilities Evaluates treatment for mental...Remote workFull time
$66.71k - $77.56k
...Behavioral Health Crisis Line Clinician Bilingual Join to apply for the Behavioral Health Crisis Line Clinician Bilingual role at Trillium Health... ...Posting Salary Range: $62,712 - $77,564 Office Location: Remote in North Carolina POSTING DETAILS: Make an Impact...Remote workFull timePart timeWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- ...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...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
$67k - $77.5k
...Description Job Description Description: Standard Outpatient Clinician – Behavioral Health Services – is a master’s level mental health clinician... ...policies and concerns for clients Internet access for remote work How to Apply: Submit a cover letter and resume...Remote workHourly payWork from homeEasy work- LifeStance Health is seeking a licensed behavioral health therapist to join a fast-growing multidisciplinary team. You will deliver CBT, PST, and MI to... ..., nurses, psychiatrists, and other professionals. This remote position involves occasional on-site meetings in...Remote job
- Beth Israel Lahey Health is seeking a per diem Behavioral Health Crisis Counselor to work remotely via telehealth, serving patients at a Massachusetts hospital. The role involves crisis assessment, intervention and coordination with hospital staff to ensure timely referrals...Remote jobDaily paid
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