Remote Utilization Review Specialist - Behavioral Health
Kent County CMH Authority
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 identify discharge barriers, helping transition care to appropriate intensity settings.
The role is full-time and remote with occasional local travel within the Kent County area. Strong clinical experience and cross-functional communication are essential for success.
#J-18808-LjbffrVacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Specialist - Behavioral Health in United States vacancy
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
Virtual Vocations Inc
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... ...optimization, compliance, and high-quality patient care across behavioral health services. #J-18808-LjbffrRemote work
The Florida House
United States1 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 workPart timeWeekend work
Recovery Unplugged
United States5 days ago $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 workFull timeMonday to FridayPrinciples Recovery Center
United States4 days ago- Principles Recovery Center is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, PHP, and IOP programs. The role requires 2+ years of UR experience and fluency with ASAM, LOCUS, and CALOCUS criteria...Remote job
- 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...Remote jobMonday to Friday
- ...Minnesota Adult & Teen Challenge in Minneapolis is seeking a Utilization Review Coordinator to obtain and maintain insurance authorizations for... ...and DHS requirements. Training is provided; initial in-person in Minneapolis with remote work thereafter. #J-18808-Ljbffr...Remote work
MnAdultTeenChallenge
Minneapolis, MN1 day ago - ...Bradford Health Services seeks an experienced Utilization Review Specialist to join our Birmingham-based team. You will evaluate patient records, treatment plans, and clinical data to determine medical necessity and appropriate level of care while ensuring regulatory...Remote work
Addiction And Mental Health Services
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
United States2 days ago - CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote nationwide role. This position emphasizes clinical decision-making, care coordination, and evidence-based preauthorization review. Qualified candidates hold an independent behavioral...Remote job
- CVS Health Corporation seeks a Behavioral Health Utilization Management Clinician. This remote role prefers Louisiana residency and requires Sunday-Thursday, 8:00 AM-5:00 PM CST. You will review treatment plans, apply guidelines, coordinate with teams, and support crisis...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests, coordinate decisions, and manage crisis calls with clinical judgment to ensure timely, appropriate behavioral health...Remote jobFull timeShift work
- ...Brynn Marr Hospital in Jacksonville, NC seeks a Utilization Reviewer to assess patient records, determine appropriate levels of care,... ...psychology, sociology, social work, or related fields. Monday–Friday day shift, fast-paced behavioral health environment. #J-18808-Ljbffr...Monday to FridayDay shift
Laurel Ridge Treatment Center
Jacksonville, NC3 days ago - ...seeking a licensed clinician to review ABA services and health status across the care... ...and alignment with behavioral health guidelines. The role... ...data analysis to improve utilization, and collaboration with BH... ...is required, with flexible remote/hybrid options. #J-18808-...Remote workFlexible hours
- ...Fuller Hospital in South Attleboro, MA, seeks a full-time Utilization Review Coordinator to monitor effective use of health care resources across inpatient and outpatient behavioral health services. The role interfaces with outside agencies, payers, and managed care companies...Full time
Henderson Hospital
Attleboro, MA3 days ago - ...Utilization Review SpecialistMesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities... ...others. As a Utilization Review Specialist joining our team, you're... ...Mesa SpringsMesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
LifePoint Health
Fort Worth, TX4 days ago - ...Medical Behavioral Hospital of Clear Lake, part of NeuroPsychiatric Hospitals, is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring resources, and collaborating with...
NeuroPsychiatric Hospitals
Houston, TX12 hours 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 - ...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...
New Vista Behavioral Health
Cincinnati, OH4 days ago - ...Job Description Utilization Review Specialist - Full Time Days - Onsite Your experience matters... ...Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Full timeTemporary workPart timeRelief
LifePoint Health
Fort Worth, TX5 days ago - ...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
- 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...
- 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
- ...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 States4 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 workMonday to Friday
Centene Corporation
United States1 day 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, KS5 days ago - ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
Cleveland Clinic
United States2 days ago - ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
CCF
New York, NY2 days ago - ...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
United States5 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 workFull timeDay shift
IntelliResume
United States4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist - Behavioral Health. Be the first to apply!
Related searches
- sewing specialist United States
- graduation specialist United States
- sem specialist United States
- aircraft records specialist United States
- technology integration specialist United States
- consumer insights specialist United States
- drilling fluids specialist United States
- vulnerability management specialist United States
- evaluation specialist United States
- escalation specialist United States