Remote Behavioral Health Medical Director & UM Lead
Cambia Health
Cambia Health is seeking an Associate Medical Director Behavioral Health or Utilization Management Medical Director to provide leadership and clinical oversight for behavioral health operations across all lines of business. This remote role supports policies, programs, and review processes to improve member care and outcomes.
The position emphasizes utilization management, policy development, and cross-functional collaboration with staff and external providers.
#J-18808-Ljbffr$215k - $408.5k
...Assist the Chief Medical Officer to direct and... ...business unit. This is a remote BH Medical Director role providing... ...Utilization Management (UM) and cost containment... ...improve utilization and health care quality.... ...government programs. For Behavioral Health only - Board...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...Cambia Health is seeking an Associate Medical Director for Behavioral Health and Utilization Management to provide clinical leadership across behavioral health operations. This part-time role focuses on case reviews, policy development, and operational oversight for a...Remote workPart time
- ...Jobgether is seeking a dynamic leader to guide a fully remote Behavioral Health Care management team in the United States. You will supervise licensed clinicians, coordinate evidence-based therapies, and respond to crises for patients with chronic conditions, driving...Remote work
$217.6k - $294.4k
...economically sustainable health care system. Who We Are Looking... ...Utilization Management (UM) team, our Associate Medical Director BH and UM Medical... ...and clinical oversight for behavioral health operations across... ...relationships, work with others and lead people and project teams....Remote workPart timeImmediate startWork from homeFlexible hours- ...Supervisor to provide clinical supervision and leadership for Counselors, Behavioral Health Consultants, and Behavioral Health Specialists across eight counties within the BTCS catchment. This remote position requires residing in the BTCS area. The role focuses on...Remote work
- Cambia Health is seeking an Associate Medical Director of Behavioral Health and Utilization Management for remote work across OR, WA, ID, and UT. This part-time, non-benefited role up to... ...of clinical experience, plus 2 years in UM or case management. #J-18808-Ljbffr Cambia...Remote jobPart time
- ...immediately. The Contra Costa Health Services Behavioral Health Division, in... ...contract management staff, lead grant writing and grant management... ...may be administered remotely using a computer or mobile... ...marital status, ancestry, medical condition, genetic information...Remote workFull timeContract workFor contractorsWork at officeLocal areaImmediate startFlexible hours
- Open Door Family Medical Center in Ossining, NY, seeks a Manager of Behavioral Health at our Ossining site, four days onsite and one day remote, to lead the Article 28 LCSW/therapist team in a patient-centered medical home model. The role emphasizes staff supervision, direct...Remote work
- ...partnering with a respected healthcare organization in Russellville, AL to hire an experienced Director of Inpatient Services to oversee comprehensive inpatient behavioral healthcare leadership. This role manages daily patient care operations, budget oversight, and staff...
- ...Included Health, Inc. seeks an Associate Medical Director, Behavioral Health to oversee practice management for Psychiatrists within the Behavioral Health division. You will report to the Medical Director and help manage day-to-day clinical operations, hiring/interviewing...Remote work
- ...UnitedHealthcare is seeking a Supervisor, Behavioral Health Case Management to provide day-to-day... ...services. You will supervise staff, lead complex case consultations, coordinate care... ...timely documentation. xmvmafu Remote working/work at home options are available...Remote workWork from home
- ...Ladders is seeking a Behavioral Health Medical Director to provide medical leadership for utilization management and quality initiatives within a leading Hospitals & Medical Centers space. This remote role partners with clinical teams and quality stakeholders to support...Remote work
- ...Centene Corp. seeks a Behavioral Health Medical Director to lead medical management, quality improvement and credentialing for the business unit. Must be... ...CA, OR, WA or NV; Pacific Time preference is noted. Remote-CA with full-time schedule and potential weekend/holiday...Remote workFull timeWeekend work
- ...powerful: to enhance the health and well-being of... ...oversight of staff UM RNs to ensure... ...accuracy.The Team Lead of On-site UM is responsible... ...compliance. Unlike remote roles, this... ...documentation does not support medical necessity or the... ...care with Manager, Director and other...Remote workFull timeImmediate startShift work
- ...Bernalillo County is seeking a Community Case Manager in Behavioral Health to provide case management and counseling services to assigned clients... ...timely documentation and quality assurance. xmvmafu Remote working/work at home options are available for this role....Remote workWork from home
$174.07k - $374.92k
...We're building a world of health around every individual - shaping... ...Position Summary This is a remote-based (work from home) role.... ...resources. In this role as Medical Director (Behavioral Health), you will: Provide... ...state licensures and provide UM coverage across multiple different...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$75.3k - $135.4k
...Purpose: Supervises the behavioral health (BH) utilization... ...Centene is seeking a remote Supervisor, Behavioral... ...Utilization Management, to lead our PIC ABA team of... ...Monitors and tracks UM BH resources to ensure... .... Understanding of medical necessity criteria for...Remote workFull timePart timeWork at officeFlexible hours- ...Cambia Health is hiring an Associate Medical Director Behavioral Health or Utilization Management Medical Director. This part-time, remote role supports BH utilization management across states and... ...license. Responsibilities include leading BH reviews, developing policies,...Remote workPart time
- ...powerful: to enhance the health and well-being of... ...oversight of staff UM RNs to ensure... ...accuracy. The Team Lead of On-site UM is responsible... ...compliance. Unlike remote roles, this... ...documentation does not support medical necessity or the... ...care with Manager, Director and other...Remote workImmediate startShift work
$72.8k - $130k
...UnitedHealthcare seeks a Supervisor, Behavioral Health Case Management to lead the BH case management team, coach staff, and ensure quality outcomes.... ...collaboration with providers and health plan teams. Remote work from anywhere in the U.S. is available; 72,80...Remote workWork from home$65k - $88.6k
...community The Licensed Behavioral Health Utilization Management... ...and communication of medical services and/or... ...and resolve within a remote environment Preferred... ...Behavioral Health UM experience, performing... ...Inc. (NYSE: HUM) is a leading U.S. healthcare company...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- CVS Health seeks a Medical Director (Behavioral Health) to lead utilization management with a focus on high-risk cases and medical necessity decisions. The role is remote-based with a preference for candidates residing in Texas and requires Texas licensure or eligibility...Remote job
- ...Public Consulting Group, a leading public sector solutions firm, is seeking an Operations Manager for the Michigan Capacity Building Center for Children’s Behavioral Health. You will oversee day-to-day operations, platform management, training logistics, and client engagement...Remote work
- ...Total Care ABA is a leading provider of in-home and clinic-based ABA therapy throughout Georgia... ...are seeking a licensed BCBA for a fully remote role based in Georgia to supervise RBTs... ...design and oversee skill acquisition and behavior reduction programs, and guide treatment...Remote workWork from home
$124 - $128 per hour
...IMCS Group Dedicated Manager Leading Service Delivery Success... ...Relationships Job Title: Medical Director - Behavioral Health Duration: 6-month contract... ...on performance. Location: Remote Shift Type: 8 am - 5 pm Flexible... ...practice experience. UM Proficiency: Proven...Remote workContract workFlexible hoursShift workWeekend work- ...TX. The role delivers high-touch case management to adults with behavioral health and substance use histories, using an integrated, community-based approach. The position offers flexible hours with remote administrative task options and a strong team environment. A bachelor...Remote workFlexible hours
- ...Total Care ABA is seeking a BCBA to lead in-home and clinic-based ABA programs. This remote role must be performed by a BCBA who resides in Arizona and can supervise... ...The candidate will design skill acquisition and behavior reduction programs, conduct quarterly competency...Remote workWork from home
- ...Washington State Health Care Authority (HCA) seeks a Contracts Coordinator to manage a large... ...portfolio within the Division of Behavioral Health and Recovery (DBHR). You will coordinate... ...minimizing audit risks. You will lead, train, and mentor contract managers, ensure...Remote workContract work
- ...Banner Health in remote Arizona is seeking a Behavioral Health Utilization Care Manager to review prior authorization requests for outpatient behavioral health and ensure medical necessity. You will collaborate with providers and interdisciplinary teams, support timely...Remote work
- ...a Quality Improvement Coordinator for Behavioral Health to analyze and monitor clinical QI activities... ...support appeals processes. You will lead quality initiatives, review clinical... ...prepare case reviews with a focus on medical necessity and regulatory timelines. The...Remote work
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