Remote Behavioral Health Utilization Specialist
Nationwide Children's Hospital
- Remote job
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 with clinical staff and payers. After a 90-day in-office training period, the position offers work-from-home options. Candidates should have a Bachelor’s degree in Social Work, Psychology, or a related field, with at least #J-18808-Ljbffr Nationwide Children's Hospital
- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...Remote work
- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting... ..., concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...(Qualifications) Bachelor’s degree in a health or behavioral health-related field...Remote work- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment... ...a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide...Remote jobWork at officeWork from home
- ...Job Description Job Description Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health / Utilization Management Who We Are At Row Partners , we’re...Remote workFull timeWork at office
$55k - $70k
...hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000... ...must have prior UR & clinical experience. Remote hires and applicants without prior...Remote workFull timeWork at office- ...Behavioral Health Specialist As a Behavioral Health Specialist, you will be part of an integrated care... ...schedule with opportunities for both remote and on-site work. Professional... ...conditions and/or substance use disorders. Utilizes evidence-based treatment models and...Remote workWork at officeFlexible hours
- ...Behavioral Health SpecialistBainbridge, OH 45612OverviewSalary Range $17.00 - $25.63 HourlyDescriptionSummary... ...and a positive peer community utilizing TBRI strategies.Essential Functions:... ...role is considered essential with no remote work options. The position is exposed to...Remote workLocal areaDay shiftAfternoon shift
$36 per hour
...employees. Position Summary: The Behavior Intervention Specialist (BIS) will assess and monitor... ...people with respect and dignity and to utilize person centered supports designed to... ...documented on the agency's electronic health platforms, i.e. PrecisionCare and Power...Remote workLocal area$19.5 - $26.48 per hour
...Job Description: The Behavioral Health Specialist (BHS), under the direction and supervision of the... ...preparation, etc. Expected to lift and utilize full range of movement to transfer... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork experience placementImmediate start$41.6k - $47k
...Utilization Review SpecialistAt Umpqua Health, we're more than a healthcare organization we're... ...primary care, specialty care, behavioral health services, and... ....The Utilization Review Specialist supports Umpqua Health... ...organized and productive in a remote, independent work...Remote workWork at officeLocal areaImmediate startMonday to FridayShift work- Barrycountyrecovery is seeking a detail-oriented Behavioral Health Utilization Management Specialist. This position involves reviewing behavioral health services... ...of care levels. The role offers a primarily remote environment, with optional four-day work weeks catering...Remote job
- ...Behavioral Health Utilization Management Specialist We are seeking a detail-oriented and clinically skilled Behavioral Health Utilization Management (UM... ...operations, and the ability to work independently in a remote environment. Key Responsibilities: Conduct...Remote workFlexible hours
- Universal Health Services is seeking an experienced Market Appeals Specialist for our Central Appeals Office. This fully remote role supports utilization management and shared services within the behavioral health division, handling standard appeals across Cerner and non...Remote jobWork at office
$51 per hour
...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed... ...and appropriateness of Applied Behavior Analysis (ABA) services. This... ..., and medical/behavioral health policies to support determinations...Remote workContract workWork at officeWork from home$57.7k
...and condition management services to pediatric members with behavioral health concerns and their families. The incumbent has experience with... ...Case Management Certification Skills Proficiency in utilizing PC‑based system application and reporting packages, especially...Remote jobTemporary workFor contractorsWork at officeLocal area$54.1k - $129.62k
...We’re building a world of health around every individual — shaping a more connected... ...community at a time. Title: Behavioral Health Specialist - LCSW Only Company: Oak Street... ...role has the potential option for remote work days based upon achievement and...Remote workHourly payFull timeTemporary workLocal area- Recovery Council, Inc. seeks an UM Specialist to support prior authorization, medical billing, utilization review (UR) and patient access for behavioral health and addiction services. Strong ASAM criteria knowledge and DSM-5/ICD-10 familiarity are required to validate...
- ...compensation, this position also offers: Health (Medical, Dental, Vision) and 401K... ...with acute care, rehabilitation, and behavioral health facilities from coast to coast... ...matters How you'll contribute Utilization Review Specialist facilitates clinical reviews on all...Full timeLocal area
$51 per hour
Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote - offsite) Type: Contract To Hire Compensation:... ...and appropriateness of Applied Behavior Analysis (ABA) services. This... ..., and medical/behavioral health policies to support determinations...Remote workContract workWork at officeLocal areaWork from home- ...responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members,... ...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition...Remote workContract workWork at office
$54.1k - $116.76k
...We’re building a world of health around every individual — shaping a more connected... ...community at a time. Title: Behavioral Health Specialist - Requires LISW-CP, LPC or LMFT... ...This role has the potential option for remote work days based upon achievement and...Remote workHourly payFull timeTemporary workLocal area- ...Behavioral Health Solutions (BHS) seeks a Behavioral Program Specialist to work with clinical staff at long-term care facilities, ensuring accurate behavioral documentation... ...health unit experience. Training with a remote Clinical Supervisor is provided; travel through...Remote work
- ...Behavioral Health Solutions is seeking a dedicated Behavioral Program Specialist to work with clinical staff in long-term care facilities, ensuring accurate behavioral documentation... ...to special programs and train under remote supervision on all cases. Ideal candidates...Remote work
- ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting....Remote workFull time
- ...seeking a Board Certified Behavior Analyst (BCBA)/Licensed Behavior Specialist (LBS in PA) to work with... .../behavior health technicians (BHT), completing... ...Location: In person and remote- cases available throughout... ...Basic computer skills and utilize all required software....Remote jobContract workPart timeFor contractorsLocal area
- ...systems for programs; conducting behavioral assessments and program... ...level, PA Licensed Behavior Specialist without board certification... ...assigned by Clinical Director. Utilize safe and appropriate handling... ...position includes up to 2 remote days per week. You will see...Remote workFull timeTemporary workWork at officeRelocation2 days per week3 days per week
$23 - $25 per hour
...Overview Behavioral Health Solutions (BHS) is seeking a hard‑working, self‑driven individual to... ...behavioral team as a Behavioral Program Specialist. A behavioral specialist is a healthcare... ...will train with and report to a remote Clinical Supervisor for oversight on all...Remote workHourly payFull timeWork experience placementMonday to Friday- ...Summary The Infection Prevention Specialist II (IPS II) is an advanced-level role responsible... ...experience is preferred although behavioral health experience is not a requirement, the... ...on-site and the remaining time can be remote. Position will fall under the Behavioral...Remote workWork at office2 days per week3 days per week
$20.87 - $27.13 per hour
...experienceThis position is an onsite role and does not offer a hybrid or remote optionCareer Ladder:UCHealth offers a structured way for you... ...a safe and therapeutic environment for patients with behavioral health needs in the inpatient, emergency department or ambulatory...Remote workFull timeTemporary workLocal areaFlexible hoursShift work
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