Remote Behavioral Health Utilization Reviewer
Comagine Health
Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and appropriateness of behavioral health services. You will review clinical documentation, perform utilization reviews, and document determinations in an electronic medical record system while supporting care coordination across children, youth, and adults. This remote, Oregon-based role requires active licensure (e.g., LCSW, LPC, LCPC), 3 years of direct clinical experience, and willingness to travel in the Eugene #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Reviewer in Salem, OR vacancy
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Comagine Health
United States6 hours ago - ...such sponsorship or employer support during their employment should not pursue this opportunity. POSITION PURPOSE The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral health service requests, claims, and appeals to...SuggestedH1bWork at officeLocal areaRelocationVisa sponsorship
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New York, NY4 days ago $130 - $145 per hour
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New York, NY28 days ago- ...Location: Remote - TX Department: Utilization Shift: First Shift (United States... ...efficient utilization of health care resources for Cook Childrens... ...Manager (UM/ECM - RN) Reviewer facilitates clinically... ...coordinate members needing Behavioral Health and outpatient...Remote workFull timeShift workDay shift
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- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
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United States2 days ago $230k
...Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...Company: Oak Street Health Location: Fully Remote Hours: full time, Monday - Friday, 8am -5pm...Remote workFull timeMonday to FridayCVS Health
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$65k - $75k
...Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States.... ...clinical experience, and 2+ years in utilization review or claims auditing. This full-time position offers health benefits starting on day one and a...Remote workFull timeGainwell Technologies LLC
Orange Beach, AL8 hours ago$219k - $286.9k
...Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack... ...Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
Orlando, FL5 days ago$38 - $41 per hour
A healthcare organization based in California is seeking a Utilization Clinical Reviewer for a remote position. The role involves assessing medical records and ensuring the appropriate use of psychiatric inpatient care. Ideal candidates will have at least 2 years of relevant...Remote workHourly payGet It - Healthcare
Los Angeles, CA4 hours ago- ...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 Corporation
United States1 day ago - ...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
Eastern, KY19 hours ago - ...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, medical...Remote work
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Brooklyn, NY4 days ago - ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
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Comagine.org
United States1 day ago - ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...independently applies medical and behavioral health guidelines to authorize services,... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Newtown Square, PA19 hours ago $86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access... ...the nation's leaders in health care solutions, we offer... ...specialty pharmacy services, behavioral health services, and other... ...of a supervisor, the Utilization Management Reviewer evaluates medical necessity...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend work2 days per weekAmeriHealth Caritas
Washington DC3 days ago- ...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
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Salem, OR1 day ago $42.18 - $51.56 per hour
...to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for... ...level of care to promote optimal health. This position is self-directed and... ...professionals, including medical and behavioral health care managers, dieticians, pharmacist...Hourly payFull timeFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago- ...Humana in Louisiana seeks Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate medical services... ..., and the ability to work across multiple systems in a remote environment. Candidates must hold one of several licenses...Remote work
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California, MO8 hours ago - ...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 work
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Wakeeney, KS8 hours ago $60.52k - $129.62k
...Care Plan Reviewer (Clinical Case Manager BH) We're building a world of health around every individual — shaping a more connected... ...(Clinical Case Manager BH) utilizes advanced clinical judgment and... ...supports appropriate member behavioral healthcare through review of...Remote workHourly payFull timeTemporary workLocal areaOak St. Health
United States2 days ago- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete... ...support medical necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
Virtual Vocations Inc
United States1 day ago - ...Optum is recruiting a remote Behavioral Health Utilization Review Specialist to support case management for behavioral health and substance use. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. This...Remote workFull timeMonday to Friday
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Tucson, AZ8 hours ago - ...Optum is seeking a remote Behavioral Health Utilization Review Specialist to support case management and care coordination. This full-time, Monday–Friday role offers standard business hours with occasional on-call needs based on business requirement. The position requires...Remote workFull timeMonday to Friday
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Sedona, Yavapai County, AZ8 hours ago - ...Psychologist ReviewerApply: Remote-CA: Full time: Posted Today:... ...direct and monitor care for behavioral health and/or substance abuse problems... ...as a Remote Psychologist Reviewer specializing in Applied Behavior... ...on best practice models and utilization management processes *...Remote workFull timePart timeWork at officeFlexible hours
Centene Corporation
Eastern, KY7 hours ago $27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related...Remote workHourly payFull timeMonday to FridayCentene Corporation
Eastern, KY19 hours ago
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