Remote Behavioral Health Utilization Manager - Outpatient
WellSense Health Plan
- Remote job
WellSense Health Plan is seeking a Behavioral Health Utilization Manager to oversee outpatient and non-24 hour diversionary services. You will be a key clinical decision-maker evaluating service requests and managing complex cases with a proactive, analytical approach. This primarily remote role involves collaboration with Medical Directors, care coordination, and external partner engagement, with occasional travel to Massachusetts locations as needed. #J-18808-Ljbffr WellSense Health Plan
- ...Job Description Location: Remote Employment Type: Full-time... ..., patient-focused Practice Manager to oversee administrative... ...operations across its growing outpatient behavioral health practice. This role... ...documentation, rent arrangements, utilities, registrations, inspections...Remote workFull timeContract workWork at officeLocal areaMonday to Friday
- KVC Health Systems, Inc. in Kansas City, MO is seeking a dedicated Utilization Review Manager (URM) to obtain and review clinical and medical service authorizations, supporting high-quality behavioral healthcare for children and families. You will liaise with treatment...Remote job
$46.89 - $51.11 per hour
...Job Description Job Description Behavioral Health Manager Location: Santa Barbara, CA (Hybrid... ...clinical review, care coordination, and utilization management activities. This hybrid... ...Leave) Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary work$74.8k - $112.2k
Overview Behavioral Health Case Mgr - CT08IE We’re determined... ...information and utilizes established clinical... ...present in claimants being managed. Leverages resources... ...as ambulatory care or outpatient clinic/facility Case... ...can have a Hybrid or Remote work arrangement. Candidates...Remote workTemporary workWork at office3 days per week- Behavioral Health Care Manager I (3rd Shift -After Hours) Join to apply for the Behavioral... ...facility-based and outpatient professional treatment health... ...in case management/utilization management with a broad range... ...Health Care Manager (BHCM) - Remote Florida, United States $59...Remote workFull timeContract workTemporary workPart timeLocal areaShift workNight shiftWeekend work1 day per week
$150k - $160k
...that care must be equally strong. Learn more at ots.health. POSITION SUMMARY The Behavioral Health Manager increases the execution capacity of the... ...data tracking systems ~ Demonstrated experience utilizing electronic health records (EHR) and operational reporting...Remote workWork at office$72.8k - $130k
...we're simplifying the health care experience, creating... ...togetherSupports Behavioral Health Quality Improvement... ...efficiency, and management of total cost of care.... ...the flexibility to work remotely* as you take on some tough... ...and effective utilization of developing HIT\HIE...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours$60.53k - $129.63k
...We’re building a world of health around every individual — shaping a more connected, convenient... ...one family and one community at a time. Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday–Friday, 8:...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$35 - $37 per hour
...currently hiring for the Maryland Behavioral Health Administrative Services... ..., this position is remote but you must be licensed in... ...The Behavioral Health Care Manager II (ABA Specialist) is responsible... ...managing behavioral health utilization management (UM) activities focused...Remote workHourly payFull timeContract workCurrently hiringLocal areaMonday to FridayFlexible hours$275k - $315k
...Title: Medical Director of Utilization Management \n \n Summary: Step... ...Clinical Lead for a prominent Health Plan's Utilization... ...Experience with inpatient/outpatient UM, medical necessity, pharmacy... ...role with a hybrid schedule (3 days remote / 2 days onsite)\n...Remote workWork at officeMonday to FridayShift work2 days per week$46.89 - $51.11 per hour
...Job Description Job Description Behavioral Health Manager Location: Santa Barbara, CA (Hybrid... ...Preferred Qualifications Managed care, utilization management, or case management... ...Leave) Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workMonday to Friday$124 - $128 per hour
...IMCS Group Dedicated Manager Leading Service Delivery... ...: Medical Director - Behavioral Health Duration: 6-month... ...performance. Location: Remote Shift Type: 8 am - 5... ...decisions (inpatient, outpatient, Prior Auth, etc.)... ...activities pertaining to utilization review, quality...Remote workContract workFlexible hoursShift workWeekend work- ...A community behavioral health agency in Boise, Idaho, is looking for professionals to provide outpatient behavioral health services. Responsibilities include skill building and... ...have a bachelor's degree and the ability to manage diverse populations effectively....Remote workFull timePart timeFlexible hours
- ...monitor ongoing inpatient or outpatient treatment and support... ...who may benefit from care management programs and facilitate appropriate... ...to optimize resource utilization, reduce unnecessary services... ...Master’s degree required for behavioral health clinicians (LCSW, LPC, LMFT...
- ...Behavioral Health Case Manager II Job Location: Remote - MI Duration: 4+ Months Contract (Potential for extension)... ...of Michigan. The Case Manager utilizes a collaborative process of assessment... ...such as ambulatory care or outpatient clinic/facility. Healthcare and/...Remote workContract workWork at officeShift work
- ...Days) Overview: Sentara Health is hiring for a Manager, Behavioral Health Care Management -... ...Program (PHP) and Intensive Outpatient Program (IOP) services.... ...processes, resource utilization, and operational problem... ...positions that are available as remote work, Sentara Health...Remote workPermanent employmentFull timeTemporary workShift workAfternoon shift
- ...Behavioral Health Care ManagerJoin the dynamic journey at Vynca, where we... ...exceptional Clinical Lead Care Manager (CLCM) to join our Enhanced... ....Hybrid (in-person and remote) care management duties as described... ...(e.g. PCP, etc.)Utilize evidence-based practices, such...Remote workLocal areaMonday to FridayShift workAfternoon shift
$67.3k - $85k
Company Overview Acentra Health exists to empower better... ...Responsibilities Acentra seeks a Case Manager of Behavioral Health to join our growing... ...placement. *Position is remote within the State of Oregon.... ...the continuum of care. Utilize clinical knowledge and...Remote workContract workLocal area- ...Internal Title: Clinical Lead Care Manager Department:... ...seeking an exceptional hybrid Behavioral Health (BH) Case Manager to join... ...Hybrid (in-person and remote) care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices,...Remote workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift
$40 - $45 per hour
...Is Immediately Hiring for Behavioral Health Clinician Position type:... ...Location: Philadelphia, PA (Remote) As a Behavioral Health Clinician... ...medical knowledge to cases utilizing specified resources and... ...resources such as; InterQual, Care Management Policy, Medical Policy and...Remote workHourly payFull timeContract workTemporary workWork experience placementImmediate startWorldwideFlexible hours- ...from the Division Chief of Outpatient Services in the Health & Human Services (HHS)... ...Enhancement & "Wrap-Around" Utilizes the consultation and... ...commitments. Knowledge of case management concepts and practices,... ...) and understanding of behavioral problems and serious, often...
$80k - $87k
...providing exceptional mental health outcomes?Community... ...Role: The Program Manager, Outpatient Services (“Manager”)... ...individuals with behavioral health needs. The Manager... ...and care utilizing evidence-based practice... ...Program Planner (FULL TIME REMOTE) Denver, CO $160,000....Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$29.1 - $62.32 per hour
## Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: October 28, 2... ...evidence-based criteria to review inpatient and outpatient services. You'll collaborate with providers,...Remote jobHourly payFull timeTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursShift workWeekend work- Maniilaq Association in Alaska seeks a Behavioral Health Telemedicine Case Manager to coordinate care across outpatient services and telemedicine platforms. You will assess... ...RN licensure and clinical leadership in a remote community setting. #J-18808-Ljbffr Maniilaq...Remote job
- ...United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical... ...reviews across inpatient, outpatient, and ancillary services. Coordinate... ...Behavioral Health/utilization management; remote work across time zones as #J-1880...Remote job
$60.52k - $129.62k
...’re building a world of health around every individual... ...a time. Clinical Case Manager – Behavioral Health (Licensed) 100% Remote | Anywhere in the U.S. |... ...referrals and follow-up Utilize Motivational... ...a hospital, ambulatory, outpatient, or similar clinical setting...Remote workHourly payFull timeTemporary workLocal areaWork from homeMonday to Friday- ...Primary Work Location : Remote (Oregon Headquarters). This... ...Washington. Department: Health Plan Operations FLSA... ...Exempt (Salaried) Division: Utilization Management Physical Strength: Light... ...Healthcare related field, such as Behavioral Health, Healthcare...Remote workContract workFor contractorsCasual workWork at officeLocal areaFlexible hours
$32 - $45 per hour
...Title : Behavioral Health Case Manager Location : Remote | Candidates based in Wisconsin preferred Job Type : Contract (14 months) Compensation... ...quality of life, and support efficient healthcare utilization. We are seeking a Behavioral Health Case Manager...Remote workContract workTemporary workWork experience placement- ...The Director of Outpatient Behavioral Health Services provides strategic, clinical, and operational... ...Demonstrates leadership effectiveness in managing interpersonal relationships and self... ...feedback to staff. Oversees utilization review processes to ensure medical necessity...Full timeMonday to FridayFlexible hoursAfternoon shift
- 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
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