Remote Behavioral Health Utilization Review RN
Manpower Group Inc.
Manpower Group (USA) is seeking a clinically driven RN or LPN with utilization management experience for a fully remote, temporary role. You will evaluate behavioral health and medical necessity reviews to authorize appropriate levels of care, impacting member outcomes. Ideal candidates will hold an active license in NC or a Compact state, have 3+ years (RN) or 5+ years (LPN) of clinical experience, and be proficient with multiple systems including Microsoft Outlook. #J-18808-Ljbffr
$40 - $45 per hour
...If you're a clinically driven RN or LPN with utilization management experience and a passion for... ...coverage decisions, this remote opportunity offers the chance to directly... ...your expertise in medical necessity review and behavioral health services helps ensure members...Remote workHourly payTemporary workMonday to Friday$26.41 - $51.49 per hour
...JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid... .... This is a telephonic remote position and productivity... ...will have previous utilization management, case management... ...experience. Experience in a behavioral health setting would be a plus....Remote workHourly payWork experience placementWork at officeMonday to FridayWeekend work- ...One of the largest health benefits companies... ..., dental, vision, behavioral health benefit... ...LTSS department. RN will be responsible... ...authorization and concurrent review. Provides monthly... ...setting by utilizing the applicable medical... ...Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
- ...Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job... ...help patients achieve optimal health, access to care, and... ...years of acute hospital or behavioral health patient care experience... ...Locations Thop Transmountain Campus (Remote) #J-18808-Ljbffr...Remote workFull timeWork at officeFlexible hoursShift work
- ...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 remote BH utilization reviewer to assess mental health and substance abuse care, authorize services, and present findings to... ...4 years of experience and an applicable license. A master’s in behavioral health is preferred. #J-18808-Ljbffr...Remote work
- ...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 work
- ...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...Remote workWeekly payFull timeImmediate start
- ...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
$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- 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
$2,150 per week
...Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort... ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...- including hospitals, home health agencies, and long-term care facilities...Remote workTemporary workFor contractorsLocal areaImmediate startShift workNight shiftWeekend work- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient... ...in a hospital setting (experience in health plans or medical groups is not applicable)....Remote work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote 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... ...and medical leadership to ensure appropriate care and utilization. #J-18808-Ljbffr Centene CorporationRemote jobMonday to Friday
- ...WellSense Health Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient... ...care teams. This fully remote, full-time role requires an active RN license, nursing degree,... ...to ensure timely reviews, document outcomes, and...Remote workFull time
- Centene Corp. offers a fully remote Utilization Review Clinician - Behavioral Health role. The position emphasizes clinical review of mental health and substance... ...health is strongly recommended. Licensure in BH or RN state licensure may be required. #J-18808-Ljbffr Centene...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 work
- ...To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization, and collaborate with interdisciplinary teams to optimize reimbursement and prevent payment denials. Key responsibilities...Remote workFull time
- ...integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH... ...the Medical Director for review. Refer to and work closely... ...degree and active NYS RN license required. Bachelors... ...note: The opportunity for remote work may be possible for all...Remote workContract workWork at office
- ...Centene seeks a remote Utilization Review Clinician - ABA to assess care and health status for ABA services in Georgia. The role... ...families, and collaborate with behavioral health providers while complying with policies and standards. RN/BCBA licensure and nursing or bachelor...Remote work
$2,210 per week
...in personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Molina Healthcare is seeking an RN Care Review Clinician to support Medicaid members during... ...policy adherence. Preferred candidates have utilization management or case management... ...Microsoft Office skills. This telephonic remote role follows EST hours, Monday–Friday,...Remote workWork at officeMonday to Friday
- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote 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
- ...Centene Management Company LLC is hiring for a remote RN/LPN utilization reviewer. You will evaluate patient care, determine appropriate level of care, and contribute to discharge planning while coordinating with Medical Affairs. Role requires 2+ years acute care and...Remote workMonday to Friday
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
- 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
$30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- ...Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote workFull timeContract work
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