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
$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
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations... ...candidate should have 2-3 years of UR experience in behavioral health, with strong ASAM criteria knowledge and...Remote job
- UnitedHealth Group in California offers a remote-capable role focusing on behavioral health case management. You will handle inbound calls from providers... ...2+ years of experience. The role emphasizes timely utilization management, benefits explanation across levels of care...Remote job
- ...FHE Health is seeking an experienced UR Specialist to manage clinical authorizations with insurers, ensuring timely communication and adherence to payer... ...Join a team focused on compliant, high-quality care in behavioral health, with responsibilities centered on maximizing...Remote work
- ...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
- ...FHE Health Behavioral Health Specialist FHE Health is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...or related field required preferred. ~2-3 years of utilization review experience in behavioral health, addiction treatment...Remote workDaily paidFull time
- ...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
$17 - $25.63 per hour
...Behavioral Health Specialist Bainbridge, OH 45612 Overview Salary Range $17.00 - $25.63 Hourly... ...activities and a positive peer community utilizing TBRI strategies. Essential... ...role is considered essential with no remote work options. The position is exposed...Remote workHourly payLocal areaDay shiftAfternoon shift- 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
$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- ...Group seeks a Clinical Wellbeing Specialist to provide telephonic behavioral health support, risk assessment, and short... ...providers, document case notes, and utilize Solution Focused Consultation to... ...youth and families, with flexible remote scheduling across the U.S., and requires...Remote jobTemporary workFlexible hours
$50k
...systemic approach.A Typical Day as a Behavioral Health Home-Based Specialist:Provide treatment to assigned... ...teamwork with other agency staff, utilizing concepts of MAP (Managing and Adapting... ...610 W Richwoods Blvd, but a mostly remote position. Work Hours: Schedule is flexible...Remote workWork at officeLocal areaWork from homeFlexible hours$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- ...Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- ...mattersMesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa SpringsMesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- ...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- FHE Health in Florida seeks an experienced UR Specialist who will manage clinical authorization processes with insurance... .... You will support access to behavioral health treatment and maximize reimbursement... ...related field and 2-3 years of utilization review experience in behavioral...Daily paid
- Copper Springs East Behavioral Health is seeking an Utilization Review Specialist in Gilbert, AZ. You will facilitate clinical reviews for admissions and stays, interface with payers for authorization, and advocate for patients to obtain needed services. A clinical license...Full time
- Northwestern Medicine seeks a dedicated Utilization Reviewer for Behavioral Health Programs to ensure high-quality documentation, regulatory compliance, and program outcomes across multiple behavioral health services. Responsibilities include concurrent and retrospective...
- ...Social Work series and other identified Behavioral Health Specialists employed by the facility are... ...fit, and functionality of currently utilized evaluation instruments, including the... ...flexible schedules, training and more Remote work arrangements for eligible positions...Remote workFull timeTemporary workPart timeWork experience placementLocal areaRelocationFlexible hours
- ...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
- A healthcare coding firm is seeking Remote Outpatient/Behavioral Health Coders. Responsibilities include assigning diagnosis and CPT codes for various outpatient services, ensuring compliance with federal and state regulations. Candidates must have at least 3 years of coding...Remote work
- ...Recruiting is assisting a highly awarded health system north of Philadelphia, PA, in... ...Emergency Medicine physician for a non-clinical utilization review role. The position offers a... ...Monday through Friday with the potential for remote work part of the time. Salary with...Remote workPart timeMonday to Friday
- ...Behavioral Health Specialist The Behavioral Health Specialist will provide assessment and therapy services to children and adolescents with emotional and behavioral concerns who attend area school districts. Care will be provided virtually while the student is either...Remote work
$23 - $25 per hour
...Behavioral Health Solutions (BHS) is seeking a hard‑working, self‑driven individual to join our... ...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 workFull timeWork experience placementMonday to Friday$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 - Requires LSCSW, LCPC or LMFT... ...: Hybrid - 3 days onsite and 2 days remote Hours: Monday - Friday, 8am - 5pm...Remote workHourly payFull timeTemporary workLocal areaRelocation packageMonday to Friday- Optum is a global organization focused on behavioral health navigation and support. The Clinical Wellbeing Specialist role uses Solution Focused Consultation, Motivational... ...benefits and resources. You’ll work remotely from anywhere in the U.S. and handle inbound/outbound...Remote job
$20.87 - $27.13 per hour
...This position is an onsite role and does not offer a hybrid or remote option Career Ladder: UCHealth offers a structured way for... ...a safe and therapeutic environment for patients with behavioral health needs in the inpatient, emergency department or ambulatory setting...Remote workFull timeTemporary workLocal areaFlexible hoursShift work
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