Remote Behavioral Health Utilization Review Clinician
Home State Health
- Remote job
Home State Health is seeking a qualified clinical professional for a remote role in Missouri focused on mental health and substance abuse. The position involves evaluating treatment plans, performing prior authorizations, and interacting with various healthcare providers. Ideal candidates are RNs with a background in both behavioral and physical health, and pertinent licenses including LCSW, LMHC, LPC, and RN. Enjoy comprehensive benefits including competitive pay and flexible work schedules. #J-18808-Ljbffr Home State Health
$27.02 - $48.55 per hour
...Medical Management/Health Services team.... .... POSITION IS REMOTE BUT CANDIDATE MUST... ...WILL BE RN WITH BEHAVIORAL HEALTH AND PHYSICAL... ...a clinical review and assesses care... ...and appropriate utilization of services Provides... ...behavioral health clinicians required....Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Vaya Health is seeking an IDD UM Clinician for a remote position based in North Carolina. The clinician will conduct service plan reviews, authorization of services, and facilitate provider... ...years of experience in Utilization Management in Behavioral Healthcare are required....Remote work
- ...Vaya Health is seeking an IDD UM Clinician for a remote position based in North Carolina. The role involves conducting utilization review tasks, collaborating with care coordinators, and ensuring... ...required, along with two years of behavioral healthcare experience. The...Remote work
$57.24k - $62.18k
...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... ...defer decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours- Blue Shield of California is hiring a Senior Behavioral Health Utilization Management Clinician in California. This position involves conducting utilization reviews and ensuring appropriate determination for members based on established guidelines. The ideal candidate will...Remote jobWork at office
- ...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
- ...Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services.... ...Responsible for verifying that behavioral health services are medically necessary... ...• Works collaboratively with the utilization and care management departments...Remote workContract workWork at officeLocal area
- ...Utilization Review Clinician, Advocate, Remote We are an equal employment opportunity employer. All qualified applicants will receive consideration... ...provides members and providers with information on behavioral health benefits and community resources. Candidates...Remote workDaily paid
$54.1k - $116.76k
...Behavioral Health Precert/UM (Medicare-aligned) We're building a world of health around every... ...Responsibilities (Daily Work): Review behavioral health clinical records (... ...effectiveness, and appropriate benefit utilization, including opportunities that reduce rework...Remote workHourly payFull time$60.52k - $142.58k
...Behavioral Health Utilization Management Clinician (Remote, EST Hours) We're building a world of health around every individual — shaping a more connected, convenient... ...a meaningful difference. What You'll Do Review and evaluate treatment plans using evidence-based...Remote workHourly payFull timeTemporary workMonday to Friday$29.1 - $62.32 per hour
...Behavioral Health Um Clinician We're building a world of health around every individual — shaping a more... ...position is designed to clinically review of behavioral health prior authorized... ...not limited to the following: Utilizes clinical skills to coordinate, document...Remote workHourly payFull timeTemporary work$27.02 - $48.55 per hour
...Medical Management/Health Services team.... ...flexibility. This is a remote position. Hours... ...: Performs reviews of member's care... ...status of Applied Behavioral Analysis (ABA)... ...and appropriate utilization of services Interacts... ...health clinicians required. Behavioral...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours$60.52k - $129.62k
...re building a world of health around every... ...community at a time. Fully remote role. Monday‑Friday during... .... Position Summary Utilizes clinical skills to coordinate... ...guidelines for behavioral health and/or medical... ...clinical expertise to review and evaluate treatment...Remote workFull timeLocal areaMonday to Friday$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- ...Weekend Days Overview: Sentara Health Plans is hiring a Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance... ...- Flexible Weekend Dayshift - Remote in VA and NC! Status: Full-... ...clinician is responsible for review of clinical information received...Remote workPermanent employmentFull timeTemporary workFlexible hoursShift workWeekend workDay shift
- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...Job Title Provides support for clinical member services review assessment processes. Verifies that services are medically necessary... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Remote workWork at office
$25.08 - $51.49 per hour
...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required...Remote jobHourly payWork experience placementWork at office- Blue Shield of CA is seeking a Senior Behavioral Health Utilization Management Clinician in Virginia Beach. The role involves conducting clinical reviews of mental health and substance use authorization requests, assuring coding accuracy, and adhering to medical policy...Work at office
- Blue Shield of CA in Miami is seeking a Senior Behavioral Health Utilization Management Clinician to join their team. This role involves conducting clinical reviews for mental health and substance use authorizations, ensuring compliance with multiple guidelines and policies...
$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work... ...is seeking a Utilization Management Nurse to review provider-submitted service authorization requests...Remote workHourly payPermanent employmentTemporary workWork at office- Blue Shield of CA in Atlanta is seeking a Senior Behavioral Health Utilization Management Clinician to lead clinical reviews of mental health and substance use authorization requests. The role requires a current CA license and extensive experience in Behavioral Health Utilization...Work at office
- Blue Shield of CA is seeking a Senior Behavioral Health Utilization Management Clinician in Denver, Colorado. The role involves conducting clinical reviews for mental health and substance use requests while ensuring compliance with established guidelines. Ideal candidates...
- Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews for mental health and substance use requests. This role supports hybrid virtual work arrangements, allowing for flexibility while ensuring business needs...Work at office
- Blue Shield of CA in Hartford, Connecticut is seeking a Senior Behavioral Health Utilization Management Clinician. This role involves conducting clinical reviews for mental health and substance use authorization requests, ensuring compliance with medical policies and guidelines...
- Blue Shield of CA seeks a Senior Behavioral Health Utilization Management Clinician to conduct clinical reviews for mental health and substance use authorizations. This role emphasizes leadership growth and supports a hybrid work model, allowing employees to work virtually...Work at office
- ...This is a great opportunity for a local remote position. There is no communication... ...all units/staff (commercial, behavioral health, inpatient, etc.) PRN (at minimum, two... ...for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote jobInternship
$35.29 - $47.37 per hour
...considering a career at Advanced Health! We are searching for... ...and their work-life balance Remote work options and Flexible scheduling... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a... ...integrity by exhibiting ethical behavior to maintain high standards Represent...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
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