Remote Behavioral Health Utilization Review Clinician
Santa Barbara Cottage Hospital
Santa Barbara Cottage Hospital is seeking a Utilization Review Clinician/Advocate for a remote Per Diem role. This position involves providing telephonic care reviews and authorization determinations for psychiatric and substance use treatment services. The clinician will evaluate levels of care based on medical necessity, collaborate with treatment teams and Physician Advisors, and provide vital information on behavioral health benefits and community resources. #J-18808-Ljbffr
$27.02 - $48.55 per hour
...Medical Management/Health Services team.... ...Performs a clinical review and assesses care... ...review of behavioral health (BH) inpatient... ...and appropriate utilization of services Provides... ...health clinicians required Clinical... ...approach to work with remote, hybrid, field, or...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship... ...spouses. Interns will conduct clinical reviews, communicate with providers, and document findings...Remote workInternship
- ...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
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National... ...conducting medical necessity reviews for behavioral health services while... ...RN license. This position supports remote work, providing work-life balance while...Remote jobInternship
- Humana is looking for a Utilization Management Behavioral Health Registered Nurse (RN) Intern to support the National... ...role includes conducting clinical reviews, coordinating with healthcare... ...health experience. The position allows remote work and offers a weekday schedule....Remote jobInternshipWeekday work
- ...healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance... ...hold an active RN license and have at least two years of behavioral health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr...Remote workInternshipWeekday work
- ...Humana in Maryland seeks a Registered Nurse (RN) Intern to join their National Medicaid team. This remote role involves conducting clinical reviews for behavioral health services, communicating with healthcare providers, and documenting findings. Candidates must be transitioning...Remote workInternshipFlexible hours
- ...Nurse (RN) Intern to conduct clinical reviews and support healthcare initiatives. This... ...military spouses, providing key training in a remote work setting. Key responsibilities... ...have a valid RN license and clinical behavioral health experience. Ideal candidates possess skills...Remote workInternship
- ...This role involves conducting clinical reviews for prior authorization requests and documenting... ...have at least two years of clinical behavioral health experience. Proficiency in MS Office... ...software is preferred. The role is remote and offers a structured weekday schedule...Remote workInternshipWeekday work
- ...Humana is looking for a Behavioral Health Registered Nurse Intern to assist with medical necessity reviews in a remote setting. The role involves collaborating with healthcare providers and ensuring compliance with guidelines. Applicants should be transitioning military...Remote workInternship
- ...Associates! *Must have Mental Health and/or Substance Abuse... ...Holidays ~ Work-life balance. ~ Remote setting ROLE DESCRIPTION: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...Utilization Review Clinician, Advocate, Remote We are an equal employment opportunity employer. All qualified applicants will receive consideration... ...provides members and providers with information on behavioral health benefits and community resources. Candidates...Remote workDaily paid
- Humana is looking for a Behavioral Health Registered Nurse (RN) Intern to join the National Medicaid... ...spouses, focusing on medical necessity reviews and clinical decision-making.... ...behavioral health experience. The position is remote, ideally for candidates in Kentucky....Remote jobInternship
- ...Harris Health System, Inc. is seeking a Behavioral Health Utilization Manager to perform concurrent and discharge reviews on patients. The role involves applying approved criteria for admissions... ...utilization review. The position is remote, requiring strong critical thinking...Remote workWork at office
$23.76 - $51.49 per hour
...seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...offers a competitive hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote workInternship
- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...This is a great opportunity for a local remote position. Schedule PRN (As... ...support all units/staff (commercial, behavioral health, inpatient, etc). Requirements:... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$27.02 - $48.55 per hour
...is seeking a clinical professional on their Medical Management/Health Services team. The role requires expertise in mental health and... ...insurance, 401(k) plans, and a flexible work environment that could be remote, hybrid, field, or office-based. Commitment to diversity and...Remote workHourly payWork 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... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field...Remote job- tango is seeking a UM Clinical Reviewer in Phoenix, AZ to ensure the proper utilization of home health services. This fully remote role involves reviewing prior authorization requests, evaluating medical records, and collaborating with providers to promote high-quality...Remote job
- ...Supervisor Of Behavioral Health Utilization Review Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of... ...Job Details: ~ Monday Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be...Remote workMonday to FridayDay shift
- ...active RN licensure and offers an opportunity to engage in clinical reviews and coordination within the National Medicaid team.... ..., communicating with providers, and documenting findings. This remote role promotes flexibility and is essential to support healthcare...Remote jobInternship
- ...Summary: This position has a remote option for those living... ...hospital as needed. The Utilization Review Nurse is responsible for determining... ...with other members of the health care team to ensure the... ...'s member's health care for behavioral health care management....Remote workFull time
- ...Needed *This position will be remote only** Employment Type:... ...and skill set related to utilization review, care coordination, performance... ...centered/patient valued behaviors. Responsibilities Conducts... ...the effort to the health care team to achieve a positive...Remote workTemporary workReliefShift work
- Capacity Path is seeking a Behavioral Health Utilization Manager, RN, for a remote position in Houston, TX. This role focuses on reviewing concurrent and discharge cases for patients, ensuring compliance with established criteria, and providing timely feedback to healthcare...Remote job
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...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
- Title: Utilization Review Specialist - Mental Health/Behavioral Health - REMOTE Location: Remote - Servicing 4 locations in Florida Contract - 13 Weeks - Monday through Friday 8:30 AM to 5:00 PM - 2 Contracts Available Pay: Starting at 28.00 an Hour The UR Specialist...Remote workContract workWork at officeMonday to Friday
$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a... ...primary care, specialty care, behavioral health services, and care coordination...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday
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