Remote Utilization Review Specialist (Mental Health & SUD)
Kent County CMH Authority
Salem, OR
- Remote job
Kent County CMH Authority is seeking a Utilization Review Specialist to assess treatment plans for I/DD, mental health, and SUD services. This role identifies barriers to discharge and helps transition care to appropriate intensity settings while supporting quality outcomes. The position is full-time, primarily remote with occasional travel within Kent County. A licensed clinician with strong communication skills and experience in utilization review is required. #J-18808-Ljbffr Kent County CMH Authority
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Specialist (Mental Health & SUD) in Salem, OR vacancy
$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... ...insurance authorizations for adolescent and adult mental health, substance use, and co-occurring treatment....Remote workFull timeMonday to FridayPrinciples Recovery Center
United States3 days ago$90.9k - $129.9k
...expertise to adjudicate Behavioral Health prior authorizations based... ...Day Treatment. Adult Mental Health Day Treatment and In-... ...role, rather you will provide utilization review and quality assurance. Your... ...expect in this role ~100% Remote home office. ~ Full-time...Remote workFull timeWork experience placementHome officeFlexible hoursGainwell Technologies LLC
Madison, WI4 days ago- ...support in monitoring the Mental Health Plan and Drug-Medi-Cal... ...(DMC-ODS), including review of medical records to ensure proper utilization of treatment resources... ...health treatment. UR Specialists also interpret, advise... ...The option for hybrid remote work may be available...Remote workContract workLocal areaTrial periodFlexible hours
santacruzcountyca.gov
Santa Cruz, CA3 days ago $62.4k - $72.8k
...Job Title: Utilization Review Specialist Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/hour Northpoint Recovery... ...through the Northpoint Recovery brand, and mental health treatment for adolescents through Imagine by Northpoint...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Praesum Healthcare: Position Title: Utilization Review Specialist Founded in 2003, Praesum... ...currently provides services to behavioral health facilities providing all levels of care... ...abuse detoxification, through SUD and mental health outpatient clinics....SuggestedHourly payFull timeWork at officeVisa sponsorshipWeekend work
Praesum Healthcare
West Palm Beach, FL9 hours ago - ...provides administrative services for behavioral health facilities in the Northeast, mid‑Atlantic,... ..., substance abuse detoxification, SUD and mental health outpatient clinics. Position Title: Utilization Review Specialist Responsibilities Initiate pre‑certification...Full timeWork at officeVisa sponsorshipWeekend work
Praesum Healthcare
West Palm Beach, FL22 hours ago $63.1k - $83.65k
Position Position : Utilization Review SpecialistReq.# :... ...Package Four health insurance plans... ...the delivery of mental health, substance... ...Utilization Review Specialist to perform utilization... ...use disorder (SUD) intensive... ...the position is remote, the individual in...Remote workFull timeTemporary workMonday to Friday$60k - $62k
...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States... .... Position Overview The Utilization Review Specialist is responsible for all aspects of the... ...may change as needs evolve. Coronis Health is committed to creating a diverse and...Remote workFull timePart timeWork from homeFlexible hoursCoronis Health
Jackson, MI4 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 with insurance payers. You will support patient access by securing initial and continued...Remote work
The Florida House
United States22 hours ago - ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance... ...has prior utilization review or behavioral health experience, strong knowledge of payer requirements...Remote workPart timeWeekend work
Recovery Unplugged
United States4 days ago $30 - $45 per hour
...agency is seeking an Operations Specialist III for a contract... ...experience in Epic EHR and Utilization Review. The selected candidate will... ...program metrics. This position is remote and offers a pay range of $3... ...employee benefits including health insurance and a 401(k) plan....Remote workHourly payContract workPyramid Consulting
Long Beach, CA22 hours ago- ...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, TN22 hours ago - ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary care across... ...5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate...Remote workWork from homeMonday to FridayWeekend work
CVS Health
Jackson, MS4 days ago - ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
State of Arizona
New York, NY1 day ago $18 - $20 per hour
...compassionate professional to join our Utilization Review department. At Camber, we... ...As a Utilization Review Specialist, you serve as the vital link... ...treatment teams and health plans. You will manage initial... ...corporate office, 3 days remote. What You Will Do Act...Remote workHourly payFull timeWork at officeKVC Shared Services
Olathe, KS22 hours ago- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment facilities... ...of experience in the behavioral health field.PreferredClinical license (LMFT... ...represented as "recovering".Benefits100% remote first company to foster flexibility,...Remote workWork at office
Hansei Solutions
Franklin, TN22 hours ago - Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for ABA and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff...Remote jobWork from homeHome office
- ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution... ...For We are seeking an experienced specialist who is passionate about making a... ...field required preferred. 2-3 years of utilization review experience in behavioral health, addiction...Remote workDaily paidFull time
The Florida House
United States1 day ago - ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...Specialist to support our behavioral health programs. This role plays a...Remote workFull timeMonday to FridayFlexible hours
Diversified Treatment Alternative Centers (DTAC)
Wyomissing, PA2 days ago - ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create... ...insurance field or in the behavioral health field preferred A minimum of two years... ...and background check. Satisfactory drug screen Part Time Remote Role...Remote workPart timeWork at officeFlexible hours
Charles River Recovery
United States1 day ago $60k - $70k
...Full Time Office/Clerical Remote, Birmingham, AL, US Salary... ...00.00 Annually Bradford Health Services provides addiction... .... We are seeking a Utilization Review Specialist to add to our dynamic team... ...of in‑network providers. Mental Health Support – Improved access...Remote workFull timePart timeWork at officeBradford Health Services
Birmingham, AL4 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
Cincinnati, OH3 days ago - CorVel is seeking a Utilization Review (UR) Intake Specialist to support the UR / Case Management team remotely. The role involves handling incoming calls, processing precertification requests, entering notes in CareMC, and maintaining accurate patient and provider data...Remote jobWork at office
- ...Sedgwick is seeking a Telecommuter RN for Utilization Review in the United States. The role requires an active RN license, an associate degree... ...review. Certification is a plus. The position offers remote work with a comprehensive benefits package and competitive pay...Remote work
Sedgwick Claims Management Services
United States2 days ago $69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department. The role requires a Bachelor...Remote workFull timeCincinnati Children's
New York, NY2 days ago- ...Ascension is seeking a Registered Nurse for Utilization Management in a remote-capable role. This position focuses on reviewing admissions and service requests for medical... ...diploma, with benefits including comprehensive health coverage, retirement plans, PTO, and...Remote work
Ascension
Austin, TX4 days ago - Coronis Health is seeking a qualified Utilization Review Specialist to manage authorization of treatment with insurance and managed care companies from a remote Jackson, MI area. You will provide information to payers about medical necessity and perform pre-certification...Remote job
- Principles Recovery Center in Florida is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, substance use, and co-occurring treatment in a PHP/IOP setting. You will verify benefits, complete prior...Remote job
- CorVel is seeking a Remote Utilization Review (UR) Intake Specialist to support the UR/Case Management department. The role includes handling calls, verifying patient and provider data, entering notes in CareMCsystem, and completing forms to keep workflow moving efficiently...Remote job
- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist. The role supports review of clinical data to determine medical necessity... ...for ABA and related services. It is a fully remote or office/home hybrid position with a collaborative, detail...Remote jobWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist (Mental Health & SUD). Be the first to apply!
Related searches
- patient safety specialist Salem, OR
- credit card specialist Salem, OR
- senior specialist Salem, OR
- health program specialist Salem, OR
- microsoft specialist Salem, OR
- transportation specialist Salem, OR
- color specialist Salem, OR
- hearing specialist Salem, OR
- crisis specialist Salem, OR
- bilingual specialist Salem, OR