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

Remote Behavioral Health Utilization Review Clinician

Centene Corporation

Centene Corporation seeks a Clinical Review professional to assess mental health and substance use care, evaluating treatment plans and determining appropriate levels of care. You will support concurrent BH reviews and work with providers to ensure quality and compliance. Role requires licensure and a master's in behavioral health for clinicians; opportunities include remote or hybrid schedules and a comprehensive benefits package. #J-18808-Ljbffr

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Health Utilization Review Clinician in Cheyenne, WY vacancy
  •  ...Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate... 
    Remote work

    IntelliResume

    United States
    2 days 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 work
    Monday to Friday

    Centene Corporation

    United States
    4 days ago
  •  ...Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven... 
    Remote work

    Centene Corporation

    United States
    5 days 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

    Centene Corporation

    Wakeeney, KS
    3 days ago
  •  ...Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance...  ...and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and... 
    Remote work
    Full time
    Day shift

    IntelliResume

    United States
    2 days ago
  •  ...CVS Health is hiring a Behavioral Health Precertification/ Utilization Management Clinician to work remotely with a consistent weekday schedule. The role focuses on reviewing behavioral health authorization requests and ensuring appropriate levels of care using evidence... 
    Remote work
    Weekday work

    CVS Health

    United States
    1 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 work
    Day shift

    Centene Corporation

    New York, NY
    2 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 work
    Full time
    Day shift

    Centene Corporation

    Salem, OR
    5 days ago
  • $56.2k - $100.98k

     ...Performs a clinical review and assesses care...  ...to mental health and substance abuse...  ...This is a fully remote position requiring...  ...concurrent review of behavioral health (BH)...  ...and appropriate utilization of services Provides...  ...health clinicians required. Clinical... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Monday to Friday
    Flexible hours

    Centene Corporation

    Remote
    6 days ago
  • Centene is seeking a licensed clinician to remotely perform clinical reviews and assess care for mental health and substance abuse. The...  ...and strong knowledge of BH utilization review, with NY licensure preferred...  ...education. A master’s in behavioral health is preferred. #J-18... 
    Remote job
    Monday to Friday

    Centene Management Company LLC

    New York, NY
    3 days ago
  • Centene Corporation is seeking a remote Behavioral Health/Utilization Review professional to support the California Market. The role requires nursing or bachelor’s degree with 2-4 years of related experience and appropriate behavioral health licensure. The position offers... 
    Remote job
    Full time

    Centene Corporation

    California City, CA
    1 day ago
  • $27.02 - $48.55 per hour

    About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse...  ...services provided are medically appropriate. This fully remote position is ideal for candidates with a strong... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Day shift

    Centene

    New York, NY
    3 days ago
  •  ...Centene Management Company LLC is seeking a Behavioral Health Care Reviewer to perform clinical reviews of mental health and substance use services, ensuring appropriate levels of care and adherence to guidelines. The role supports prior authorizations, concurrent BH... 
    Remote work
    Flexible hours
    Afternoon shift

    Centene Management Company LLC

    United States
    2 days ago
  • Centene Corporation is seeking a remote Clinical Review Nurse to assess mental health and substance use care. The role monitors level of care, performs prior...  ..., and collaborates with providers to optimize BH utilization. A nursing degree plus 2-4 years of related experience... 
    Remote job

    Centene Corporation

    New York, NY
    3 days ago
  • Centene Corporation offers a fully remote clinical reviewer position focused on mental health and substance use care within the California Market. The role requires...  ...or related bachelor’s degree and master’s level behavioral health training, with licenses to practice. #J-18... 
    Remote job

    Centene Corporation

    Sacramento, CA
    3 days ago
  • $71.14k - $115.86k

     ...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference...  ...concurrent and retrospective review) to best meet the member’s specific...  ...data protection and integrity. #LI-Remote Pay ranges vary based on the... 
    Remote work
    Full time
    Work at office
    Immediate start
    Work from home
    Flexible hours

    Cambia Health Solutions

    Washington State
    19 days ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician to work 100% remotely from anywhere in the United States. The role focuses on reviewing preauthorization requests, coordinating utilization decisions with providers, and managing crisis calls with... 
    Remote job

    CVS Health

    Kansas City, MO
    1 day 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 work
    Part time
    Weekend work

    Recovery Unplugged

    United States
    3 days ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote nationwide role. You will review preauthorization requests, coordinate decisions with providers, and manage crisis calls with clinical judgment to ensure timely, appropriate behavioral... 
    Remote job

    CVS Health

    Columbus, OH
    1 day ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. You will review preauthorization requests, apply evidence-based guidelines, and coordinate decisions with providers to ensure timely, appropriate care. Qualified... 
    Remote job

    CVS Health

    Milton, MA
    1 day ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position supports utilization management for behavioral...  ...Responsibilities include medical necessity reviews, applying guidelines, coordinating with care... 
    Remote job

    CVS Health

    Clayton, NM
    1 day ago
  •  ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant...  ..., compliance, and high-quality patient care across behavioral health services. #J-18808-Ljbffr
    Remote work

    The Florida House

    United States
    4 days ago
  • Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform comprehensive reviews (prospective, concurrent, retrospective) and ensure medical necessity and quality standards. The role emphasizes collaboration with physician advisors and interdisciplinary... 
    Remote job

    Cambia Health

    Renton, WA
    1 day ago
  • CVS Health is seeking a licensed behavioral health professional for a fully remote Utilization Management Clinician role, serving members nationwide. This position emphasizes clinical decision...  ...to support quality outcomes. You’ll review requests, coordinate with providers,... 
    Remote job

    CVS Health

    Hydaburg, AK
    1 day ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position requires active behavioral health licensure...  ...health clinical practice. You will review services for medical necessity, apply guidelines... 
    Remote job

    CVS Health

    Brooklyn, NY
    4 days ago
  • CVS Health is hiring a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. The position emphasizes clinical expertise, utilization review, and care coordination to ensure timely, appropriate behavioral health services. Responsibilities... 
    Remote job
    Shift work

    CVS Health

    Salem, NH
    1 day ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote nationwide role. You’ll review preauthorization requests, coordinate decisions, and manage crisis calls while applying clinical judgment to ensure appropriate care. Must hold an... 
    Remote job
    Shift work
    Weekend work

    CVS Health

    Phoenix, AZ
    1 day ago
  • Cambia Health is seeking a Behavioral Health Utilization Management Clinician to support members remotely across OR, WA, ID, and UT. The role focuses on prospective, concurrent, and retrospective reviews to ensure medical necessity and cost-effective care. The ideal candidate... 
    Remote job

    Cambia Health

    Tacoma, WA
    1 day ago
  • CVS Health seeks a Behavioral Health Utilization Management Clinician for remote support in the US, with Louisiana licensure preferred. The role requires a Master’s degree...  ...specialty and active license. You will review plans, coordinate UM decisions, and assist in... 
    Remote job

    CVS Health

    Milton, MA
    1 day ago
  • CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. You will review services, apply guidelines, and coordinate decisions with care teams to ensure appropriate, evidence-based behavioral health care. The... 
    Remote job
    Weekend work

    CVS Health

    Sioux Center, IA
    1 day ago

Do you want to receive more vacancies?

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