Remote Behavioral Health Utilization Review Clinician
IntelliResume
- Remote job
Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use, ensuring care levels are appropriate and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and benefits including health insurance, 401K and tuition reimbursement, with residency required in LA. Collaborative work with providers and care teams to optimize utilization is expected. #J-18808-Ljbffr IntelliResume
- ...Centene Management Company LLC is seeking a clinical reviewer for behavioral health with an active North Carolina license. The role focuses on... ...across the care continuum. The ideal candidate has BH utilization review experience, strong communication skills, and the...Remote work
- ...Centene Corporation is seeking a Behavioral Health Utilization Review clinician to evaluate and authorize BH services, ensure appropriate levels of care, and collaborate with providers and medical leadership. This role emphasizes quality improvement, case presentations...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health based in North Carolina. You will evaluate treatment plans, perform prior authorizations, and conduct concurrent reviews for mental health and substance use services. Ideal candidates hold a master...Remote workFlexible hours
- ...Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for... ...coordination of care across providers. The position offers remote flexibility with a 8am–5pm schedule on days (Tuesday-...Remote workWeekend work
- ...Centene Corporation is seeking a fully remote Behavioral Health clinician to perform clinical reviews for mental health and substance use services. The role follows... ...with providers and medical leadership to ensure appropriate care and utilization. #J-18808-Ljbffr...Remote workMonday to Friday
- ...Corporation is seeking a clinical reviewer to assess mental health and substance use care, determine... ...necessity, and support appropriate utilization. Remote work within the Central Time Zone... ..., required licenses, and a Master’s in behavioral health for #J-18808-Ljbffr...Remote workMonday to Friday
$27.02 - $48.55 per hour
...Performs a clinical review and assesses care... ...to mental health and substance abuse... ...concurrent review of behavioral health (BH)... ...and appropriate utilization of services Provides... ...behavioral health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Centene Corp. seeks an Utilization Review Clinician in a remote role requiring Georgia licensure. You will review mental health and substance use services, handling prior authorizations and concurrent inpatient reviews while collaborating with providers and medical directors...Remote work
- ...diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health... ...evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have...Remote workFlexible hours
$27.02 - $48.55 per hour
Position Purpose Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA)... ...quality and appropriate utilization of services Interacts... ...behavioral health clinicians required. Behavioral... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...) Bachelor’s degree in a health or behavioral health-related field required...Remote work- ...Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior, to conduct clinical reviews of mental health and substance use authorization requests across levels of care. This role supports medical necessity, coding accuracy, and policy compliance...Work at office
- Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will... ..., 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr Comagine HealthRemote job
- Gainwell Technologies is seeking a Behavioral Health Prior Authorization reviewer to adjudicate submissions for Substance Use Disorder Treatment... ...Adult Mental Health Day Treatment. This 100% remote role involves utilization review and quality assurance with no direct...Remote job
- Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas. Review clinical... ...populations. The position emphasizes utilization review, documentation, and collaboration with...Remote jobWork from home
- Centene is seeking an ABA review professional to evaluate member care and health status related to ABA services, ensuring medical appropriateness and adherence... ..., families, and leadership to improve care and utilization. Licensure as BCBA and applicable state...Remote job
- TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...Remote job
- ...AmeriHealth Caritas is seeking a BHUM Reviewer to conduct medical necessity... ...clinical knowledge in mental health and substance use to support appropriate... ...work credentials, experience in utilization management, and the ability to work remotely within the US; remote options...Remote workWeekday work
$130 - $145 per hour
...Job Description Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... .... Work Location: This position is fully remote and open to candidates residing in the U.S.,...Remote workHourly payFull timePart timeWork from homeHome office- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting, Inc. Pay: Competitive weekly pay... ...ASAP About the Position Key Responsibilities ~100% REMOTE role but candidate has to be in (PA, NJ or DE) ~ Equipment will...Remote workWeekly payFull timeImmediate start
- One of the largest health benefits companies in the... ...benefits, dental, vision, behavioral health benefit... ...authorization and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable medical... ...Additional Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days... ...help patients achieve optimal health, access to care, and appropriate... ...years of acute hospital or behavioral health patient care... ...Thop Transmountain Campus (Remote) #J-18808-Ljbffr Oracle CorporationRemote workFull timeWork at officeFlexible hoursShift work
- Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's degree...Remote job
- ...Behavioral Health Clinician This position involves managing and evaluating behavioral health conditions remotely within the tri-state area. It requires reviewing medical records, interacting with providers,... ...setting. Behavioral health utilization management experience...Remote work
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$2,400 per week
...of Miami is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers,... ...accommodate time off during Christmas Week. REMOTE POSITION Utilization Management:... ...of positions, including: • Allied Health Professionals • Registered Nurse (RN)...Remote workDaily paidPermanent employmentContract workTemporary workFor contractorsZero hours contractWorldwideMonday to FridayShift workWeekend work$2,065 per week
...Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers,... ...Extension (UR EXT) specialist for a remote position. This role involves conducting... ...housing allowance ~ Comprehensive health insurance with prescription coverage...Remote workTemporary workFor contractorsZero hours contractMonday to FridayShift workWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality...Remote workContract work
- ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services provided... ...– 5 pm with one hour for lunch This is an in-office, no remote work capability position Travel ~ Some travel may be...Remote workWork at office
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