Remote Behavioral Health Utilization Review Specialist
Optum
Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings.You will collaborate with providers and community resources on a Monday–Friday schedule during standard business hours, with occasional weekend or holiday on-call. AZ residency with an active independent license (LCSW/LMFT/LPC), a master's in behavioralJ-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Specialist in Phoenix, AZ vacancy
$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...this role, rather you will provide utilization review and quality assurance.Your role in... ...proceduresWhat you should expect in this role100% Remote home office.Full-time position....Remote workFull timeHome officeFlexible hoursGainwell
Madison, WI1 day 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
Optum
United States2 days ago - FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications... ..., and high-quality patient care across behavioral health services. #J-18808-Ljbffr The Florida...Remote job
$24 - $26 per hour
Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote jobFull timeMonday to Friday- ...monitoring the Mental Health Plan and Drug-Medi-... ...-ODS), including review of medical records to ensure proper utilization of treatment... ...clients receiving behavioral health treatment. UR Specialists also interpret, advise... ...option for hybrid remote work may be available...Remote workContract workLocal areaTrial periodFlexible hours
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
Hansei Solutions
Franklin, TN1 day ago - ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess treatment plans and... ...intensity settings. The role is full-time and remote with occasional local travel within the Kent...Remote workFull timeLocal area
Kent County CMH Authority
United States1 day ago - ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...We are seeking an experienced specialist who is passionate about making... ...preferred. ~2-3 years of utilization review experience in behavioral health...Remote workDaily paidFull time
The Florida House
Remote23 hours ago - ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred location. You will review services, coordinate decisions, provide crisis triage, and support transitions of care while ensuring evidence-based treatments...Remote work
CVS Health
United States3 days ago - ...SummitRidge Hospital in Lawrenceville, GA, part of Universal Health Services (UHS), is seeking a PRN Utilization Review Coordinator to support behavioral health services on an as-needed basis. You will coordinate utilization review activities, secure timely insurance...Relief
Universal Health Services
Lawrenceville, GA1 day ago - ...Pavilion Behavioral Health System in Champaign, Illinois, is seeking a Full-time Utilization Review Coordinator to ensure accurate chart reviews and to obtain hospital stay certifications from insurers. The role supports behavioral health and addiction treatment across...Full time
Laurel Ridge Treatment Center
Champaign, IL3 days ago $48.78 - $73.17 per hour
...interested in joining Sutter Health! Organization ABSMC-Alta Bates... ...continued stay, and proper utilization of physician, nursing, and ancillary... .... Responsible for concurrent review on specific patients.... ...REQUIRED EDUCATION Department, Behavioral Health: Master's in Social Work...Full timeWork at officeLocal areaMonday to FridayShift workWeekend workSutter Health
Berkeley, CA7 hours ago- New Vista Behavioral Health is seeking a detail-oriented Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple behavioral health facilities. Candidates must hold an active clinical license as an RN or...
- Skyway Behavioral Healthis an innovative center that goes beyond the treatment of mood... ...for all patients. Role Description Utilization Review Specialist (URS) reports to the Utilization Review... ...services and documented mental health needs. Demonstrates a high level of accuracy...Temporary workLocal area
- Ambrosia Behavioral Health in West Palm Beach, FL is seeking a seasoned Utilization Review Specialist to join our Revenue Cycle team. You will manage initial and concurrent authorizations and coordinate with payers to ensure medical necessity and appropriate levels of...
$65k - $88.6k
...Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document, and communicate medical services... ...with providers and members to ensure optimal care. The remote position includes standard hours, occasional travel for...Remote workHumana
New York, NY3 days ago- ...Camber Connect in Olathe, KS seeks a detail-oriented Utilization Review Specialist to bridge clinical teams and health plans, managing initial, concurrent, and... ...day review, with 2 days in the office and 3 days remote. The role demands accuracy, urgency, and advocacy...Remote workWork at office
KVC Health Systems
Olathe, KS22 hours ago - ...Avenues Recovery Center is seeking a Utilization Review Specialist to join our corporate team in New Jersey. This full-time role supports authorization decisions, clinical documentation integrity, and continuity of care across facilities. Responsibilities include handling...Full time
Avenues Recovery
Toms River, NJ1 day ago - Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and communication... ..., and adherence to policy guidelines. This is a remote nationwide position with standard working hours and...Remote job
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a strong team-oriented environment...Remote workWork at office
HealthHelp
New York, NY3 days ago - ...Evolve Treatment Centers in West Palm Beach, Florida, is seeking a full-time Utilization Review Specialist. This role involves initiating pre-certification authorizations, communicating with facilities, and maintaining patient census. Candidates should have a High School...Full time
Praesum Healthcare
West Palm Beach, FL1 day ago - ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration...Remote workPart timeRelief
Trinity Health
Mishawaka, IN1 day ago - ...Tennova Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital services and to support payer requirements. You will review admissions and continued stays, collaborate with...Remote workRelief
Tennova Healthcare- Turkey Creek Medical Center
United States22 hours ago $65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge... ..., we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong experience...Remote workMonday to FridayWeekend workWeekday workConcierge Home Care
United States1 day ago- ...NeuroPsychiatric Hospitals seeks a Utilization Review Coordinator to coordinate patient services across the continuum of care, promoting efficient utilization and collaborating with multidisciplinary teams. The role emphasizes accurate documentation and adherence to regulatory...
NeuroPsychiatric Hospitals
Mishawaka, IN4 days ago - ...Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for...Relief
LifePoint Health
Tucson, AZ1 day ago - Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess care levels, and authorize mental health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC...Remote workDay shift
Centene Corporation
New York, NY3 days ago - ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...Remote work
Cincinnati Children's Hospital Medical Center
Cincinnati, OH22 hours ago - ...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... ...youth, and adults. This remote, Oregon-based role...Remote work
COMAGINE HEALTH
United States4 days ago - Banner Health is seeking a fully remote RN in the Utilization Review Department to impact patient care across our health system. You will review clinical information, conduct audits of billings, and collaborate with providers on medical decisions from home. Requires 5+...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Review Specialist. Be the first to apply!
Related searches
- graduation specialist Phoenix, AZ
- cybersecurity specialist Phoenix, AZ
- entry level safety specialist Phoenix, AZ
- disclosure specialist Phoenix, AZ
- gaming specialist Phoenix, AZ
- community relations specialist Phoenix, AZ
- creative specialist Phoenix, AZ
- transition specialist Phoenix, AZ
- cash posting specialist Phoenix, AZ
- fabrication specialist Phoenix, AZ