Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Manager Clinician - Behavioral Health

ATHENA Consulting

New York, NY
  • Remote job

ATHENA Consulting is seeking a part-time Utilization Manager Clinician for a remote role based in Hanover, MD. The position reviews behavioral health services and coordinates case management to optimize member outcomes, requiring MD licensure and a health professional background. The role supports access to medically necessary behavioral healthcare and involves collaboration with BH Care Managers and interdepartmental teams, with standard weekday hours and the possibility of flexible scheduling. #J-18808-Ljbffr ATHENA Consulting

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Manager Clinician - Behavioral Health in New York, NY vacancy
  • $27.02 - $48.55 per hour

     ...Mental Health And Substance Abuse Clinical Reviewer...  ...the flexibility to work remotely from their home...  ...concurrent review of behavioral health (BH) inpatient...  ...quality and appropriate utilization of services Provides...  ...for behavioral health clinicians required. Clinical knowledge... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Centene Corporation

    United States
    3 days ago
  • Sentara Health Plan PG in the United States seeks a Behavior Health Utilization Management Care Coordinator to work with medically and behaviorally complex members. The role...  ...both in-person face-to-face assessments and remote telephonic assessments for SMI, SED (ages 2+)... 
    Remote work

    Sentara Health Plan PG

    Fredericksburg, VA
    1 day ago
  • Point32Health in Massachusetts seeks a Behavioral Health Utilization Management Clinician to conduct benefit coverage reviews and clinical determinations under...  ...care while maintaining regulatory compliance. Remote work as required with a fast-paced environment. #J-1... 
    Remote job

    P32HS Point32Health Services Inc

    Canton, MA
    1 day ago
  •  ...About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed...  ...JOB SUMMARY: Behavioral Health Utilization Manager will perform concurrent...  ...telephone systems Work Schedule: Remote Other Requirements:... 
    Remote work
    Contract work
    Work experience placement

    Harris Health System

    Houston, TX
    22 hours ago
  • A behavioral health technology company is seeking a Behavioral Health Care Manager to manage patient panels, analyze data, and develop care plans. This role focuses on high...  ...in behavioral health. The position supports remote work, emphasizing sustainability in healthcare... 
    Remote job

    Amplifier Health

    New York, NY
    4 days ago
  • CVS Health is seeking a Clinical Case Manager, Behavioral Health to work in a full-time telework role, primarily serving the West Valley community in Arizona. The position involves coordinating care, educating members, and partnering with providers to ensure medically necessary... 
    Remote job
    Full time
    Work at office

    CVS Health

    Phoenix, AZ
    22 hours ago
  • Centene Corporation is seeking a Behavioral Health Reviewer to assess and authorize mental health and substance abuse care across the care...  ...experience and relevant licensure; master’s degree for behavioral health clinicians is preferred. #J-18808-Ljbffr Centene Corporation
    Remote job

    Centene Corporation

    Louisiana, MO
    1 day ago
  •  ...seeks a Clinical Reviewer focused on mental health and substance use care. The role...  ...providers and leadership. The position is remote within the Central Time Zone, with standard...  ...degree and state licensure; Master’s in Behavioral Health preferred. #J-18808-Ljbffr... 
    Remote job

    Centene Corporation

    Kansas City, MO
    1 day ago
  • Centene Management Company LLC is seeking a remote Behavioral Health Reviewer to assess mental health and substance use care from home within the Central Time Zone. You will review level of care, perform prior authorizations, and help plan discharges while coordinating... 
    Remote job

    Centene Management Company LLC

    Kansas City, MO
    1 day ago
  • A diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality... 
    Remote job
    Flexible hours

    Centene Corporation

    California, MO
    1 day ago
  •  ...leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement activities, ensuring timely... 
    Remote job

    Centene Corporation

    Kansas City, MO
    2 days ago
  •  ...Behavioral Health Case Manager II Job Location: Remote - MI Duration: 4+ Months Contract (Potential for extension) Pay Rate: $44.12/HR on W2 Shift:...  ...active in state of Michigan. The Case Manager utilizes a collaborative process of assessment, planning, facilitation... 
    Remote work
    Contract work
    Work at office
    Shift work

    Conflux Systems

    Cass City, MI
    22 hours ago
  • A behavioral health organization is looking for a Telehealth RN to manage geriatric mental health care. This remote position requires a Pennsylvania RN license and offers a predictable daytime schedule. Responsibilities include patient engagement, care coordination, and... 
    Remote work

    Total Life

    New York, NY
    2 days ago
  • A leading telehealth service provider seeks a Registered Nurse to manage geriatric behavioral health care remotely. This role requires an active Florida RN license and focuses on mental health support for older adults, dementia care management, and caregiver guidance.... 
    Remote work
    Weekend work
    Afternoon shift

    Total Life Inc.

    Florida, NY
    1 day ago
  • Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and...  ...medically appropriate and coordinates with providers and families. This remote position supports working from home anywhere in the Central Time... 
    Remote job
    Work from home
    Weekday work

    Centene Corporation

    Topeka, KS
    9 hours ago
  • $2,500 per month

     ...Humana is looking for a Field Care Manager, Behavioral Health to join the IL Medicaid team. In this...  ...Position Responsibilities: ~ Utilize high-quality, evidence-based behavioral...  ...Information ~ Workstyle: This is a remote position that will require you to travel... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office
    Monday to Friday

    Humana

    Pekin, IL
    22 hours ago
  • Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital is seeking a Part-Time Case Manager, RN to support Utilization Review remotely. This casual role provides staffing coverage with no set schedule, and requires availability weekdays and weekends. Shifts... 
    Remote job
    Part time
    Casual work
    Flexible hours
    Shift work
    Weekend work
    Weekday work

    Northwestern Medicine Catherine Gratz Griffin Lake Forest Ho...

    Lake Forest, IL
    4 days ago
  • $80k - $90k

     ...healthcare affordable, improve the health of patients, and restore the...  ...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger...  ...to care, addressing medical, behavioral, and social needs. You'll work... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home
    Flexible hours

    Guidehealth

    United States
    2 days ago
  •  ...Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical...  ...retrospective reviews, denial management, documentation, and data analysis...  ...training, the position offers remote work from home options. #J-188... 
    Remote job
    Work at office
    Work from home

    Nationwide-Children

    Columbus, OH
    3 days ago
  • Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure compliance with guidelines. The role conducts pre-certifications, pre-authorizations, and retrospective reviews, collaborating... 
    Remote job
    Work at office
    Work from home

    Nationwide Children's Hospital

    Columbus, OH
    3 days ago
  •  ...Utilization Manager Under the general supervision of the Director of Utilization...  ...Detroit Wayne Integrated Health Network (DWIHN), the...  ...professional experience in a behavioral healthcare or mental health...  .... This position can work remotely with supervisory approval.... 
    Remote work
    Work at office

    Community Mental Health Partnership of Southeast Michigan

    United States
    4 days ago
  • Oak Street Health is hiring a Behavioral Health Specialist to coordinate care and provide short-term psychotherapy across our primary care clinics...  ...health services. This full-time role offers opportunities for remote work days based on program metrics and performance, with a... 
    Remote job
    Full time
    Temporary work

    Capacity Path

    Chandler, AZ
    3 days ago
  • PacificSource Utilization Management Clinician is sought to support members remotely from Florida, Tuesday through Saturday. You will collaborate with physicians...  ...requires a RN or related license, 3 years nursing/behavioral health experience, and knowledge of ICD/CPT codes.... 
    Remote job

    PacificSource

    Brooklyn, NY
    3 days ago
  • $73.6k - $110.4k

     ...Behavioral Health Care Manager Pay Range: $73,600.00 - $110,400.00 Email HR_Talent_AcquisitionTeam...  ...work arrangements that include remote and hybrid opportunities and paid time...  ...coordination of care Collaborate with the Utilization Review process including pre-... 
    Remote work
    Work at office
    Work from home
    Flexible hours
    2 days per week
    1 day per week

    Blue Cross and Blue Shield of Rhode Island

    Providence, RI
    2 days ago
  •  ...Behavioral Health Care Manager I LOCATION: This is a virtual eligible role. Indiana residency is required. HOURS: General business hours...  ...is preferred. Previous experience in case management/utilization management with a broad range of experience with complex... 
    Remote work
    Full time
    Contract work
    Monday to Friday

    Elevance Health

    United States
    2 days ago
  • $30.89 - $38.61 per hour

     ...Service Coordinator – Clinician (LSW, LCSW, LPN)...  .... The MyCare Ohio health plan is to deliver high...  ...addresses physical health, behavioral health, long term...  ...evaluation, coordination and management of member's needs,...  ...and efficient utilization of health benefits.... 
    Remote work
    Contract work
    Work experience placement
    Work at office
    Local area

    Elevance Health

    United States
    4 days ago
  •  ...Job Title - Behavioral Health Clinician Job Location - Remote but Must Reside in the state of Arkansas Duration - 3...  ...behavioral health setting, conducting utilization reviews or behavioral health case management. ~ Ability to handle HIPAA confidential... 
    Remote work
    Work at office

    Inficare

    United States
    3 days ago
  •  ...StateRichmond, VAWork ShiftFirst (Days)Overview:Sentara Health is looking to hire a Behavior Health Utilization Management Care CoordinatorStandard working hours: 8am to 5...  ...both in-person/face-to-face assessments and remote telephonic assessments for members with Serious... 
    Remote work
    Temporary work

    Sentara Health Plan PG

    Richmond, VA
    1 day ago
  • $59.3k - $80.9k

     ...of our caring community The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment,...  ...Services, Pharmacists, Psychiatrists, Utilization Management teams, Community Health...  ...information.Travel: While this is a remote position, occasional travel to... 
    Remote work
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Work from home
    Home office

    Humana

    Illinois
    2 days ago
  •  ...Remote Care Coordinator in Tampa, FL area Bilingual...  ...a key member of the Behavioral Health Team and serves as an...  ...'s Behavioral Health Managers (BHMs) by promoting...  ...care navigator. Utilize knowledge of common mental...  ...before. How? Clinician Lead - The evolvedMD... 
    Remote work
    Work at office
    Weekend work

    evolvedMD

    Tampa, FL
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Manager Clinician - Behavioral Health. Be the first to apply!