Remote Behavioral Health Utilization Manager
SilkRoad
WellSense Health Plan is seeking a Behavioral Health Utilization Manager to oversee the appropriate delivery of mental health and substance use services. You will act as a clinical decision-maker, evaluating requests and ensuring timely, quality care with regulatory compliance.
The role involves collaboration with Medical Directors, coordination of care, and documentation of decisions. Requires licensure in MA/NH and 5–7 years in health insurance with behavioral health focus.
#J-18808-Ljbffr$75.3k - $135.4k
...Position Purpose: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members... ...day-to-day activities of BH utilization management team. Key details : Centene is hiring a remote Supervisor, Behavioral Health Utilization...Remote workFull timePart timeWork at officeLocal areaFlexible hours- ...The CareMind Washington Program Manager leads a care team of Therapists and Behavioral Health Support Specialists (BHSS), to... ...outcomes. As the leader of a remote team, they model a hands-on approach... ...(s), and other providers utilizing clinical knowledge and expertise...Remote workWork experience placementLocal area
$74.8k - $112.2k
...Behavioral Health Case Mgr - CT08IE We're determined to make a difference... ...of Behavioral Health Case Managers who are responsible for the... ...clinical information. They will utilize established clinical... ...This role can have a Hybrid or Remote work schedule. Candidates who...Remote workTemporary workWork experience placementWork at office3 days per week- ...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
- ...We're seeking an exceptional hybrid Behavioral Health (BH) Case Manager to join our Enhanced Care Management... ...you'll do Hybrid (in-person and remote) care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as Motivational...Remote workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon 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$32 - $52 per hour
...Title : Behavioral Health Case Manager Location : Remote | Candidates located in Wisconsin preferred, familiar with resources in and around Dane County... ...healthcare outcomes, and support appropriate utilization of healthcare resources. Key Responsibilities...Remote workContract workTemporary workWork experience placement- ...CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role. The provider will lead utilization management, oversee behavioral health care management, and guide clinical policy and program development. Ohio licensure and board certification...Remote workFull timeWeekend work
- ...CVS Health is seeking a Medical Director (Behavioral Health) to lead the utilization management team remotely. You will provide psychiatric leadership, oversee high-risk cases, and ensure medical necessity decisions to deliver high-quality care for diverse health plans...Remote work
$150k - $190k
...a state‑based mental health pod serving thousands... ...patients annually, including utilization, access, intake... ...and reduce no‑shows. Manage referral flow from PM... ...experience in mental health or behavioral health settings. 3+... ..., team meetings) and remote work (administrative...Remote workLive in$105k - $120k
...innovative leaders in pediatric health. One in three American... ...team and lead a growing team of behavioral health providers. You’ll work... ...model. This position is fully remote, with optional in‑person work... ...evidence‑based treatment 3+ years managing clinical teams, including...Remote workFlexible hours- ...Overview The LPN Member Health Assessor will work in remote and field settings supporting our Medicaid SMI population in the state of South... ...The LPN Member Health Assessor will partner with Behavioral Health Case Managers and meet with Medicaid members to complete/sign...Remote workLive inWork from homeHome officeMonday to Friday
- ..., and wraparound care coordination and behavioral health support in all 50 states through a virtual... .... The Role The Behavioral Health Care Manager is a direct support role addressing the... ...care Benefits For Full‑time Employees Remote‑first design with work‑from‑home...Remote workFull timeWork from home
$76k - $89k
...passionate about improving access to behavioral health services in the community?... ...-based care. You will manage referrals, follow-ups,... ...evidence-based criteria to utilization management reviews; document... ...This position is partially remote and performed in a home-based...Remote workFull timeContract workHome office- ...Elliot Health System is seeking a Remote Behavioral Health Case Manager to support patients across pediatrics to geriatrics. The role involves assessing treatment needs, developing and monitoring plans, and facilitating transitions to community services. The position...Remote work
$174.07k - $374.92k
...We’re building a world of health around every individual — shaping... ...Summary This is a remote-based (work from home) role... ...role as Medical Director (Behavioral Health), you will: Provide... ...day physician oversight for utilization management team, including the...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$59.3k - $80.9k
...Humana in Oklahoma City is hiring a Care Manager – Behavioral Health. This role involves assessing enrollees' needs and creating care plans to promote their wellbeing. You will perform assessments, monitor progress, and collaborate with community services. A valid RN or...Remote workWork from home- ...Centene Corp. is seeking a Utilization Review Clinician - Behavioral Health for a remote role focused on clinical reviews and prior authorization of mental health and substance use services. The role emphasizes ensuring appropriate levels of care and educating providers...Remote work
- ...CVS Health in Louisiana is seeking a Clinical Case Manager Behavioral Health to provide advanced assessment, care planning, and coordination of psychosocial services for members in need of integrated health support. This full-time, telework role requires an active Louisiana...Remote workFull time
$180 per hour
...Job Description REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS \n \n $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential... ...Jacobson Group is seeking a Medical Director to support a health plan's Utilization Management and Appeals programs....Remote workContract workWork at officeMonday to Friday$78.4k - $107.8k
...Healthy Horizons is more than a health plan. We’re human care.... ...Associate Director. The Manager, Care Management Behavioral Health leads teams of... ...experienced leading a hybrid/remote team. Must be passionate... ...Case Manager (CCM) ~ Utilization management experience...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayFlexible hours$85k - $110k
...Join to apply for the Behavioral Health Program Manager role at University of Maryland 5 days ago Be among the first 25 applicants Join to apply for... ...week ago NAMI HelpLine Information & Referral Specialists (Remote) - INTERNSHIPS Behavioral Health Coordinator- Medstar...Remote workFull timeContract workInternshipWork at office- ...Behavioral Health Case Manager II Job Location: Remote - MI Duration: 4+ Months Contract (Potential for extension) Pay Rate: $44.12/HR on W2 Shift:... ...active in state of Michigan. The Case Manager utilizes a collaborative process of assessment, planning, facilitation...Remote workContract workWork at officeShift work
- ...Rosecrance Behavioral Health seeks dedicated professionals to deliver mental health rehabilitation services... .... Responsibilities include counseling, case management, documentation, and collaboration with clinical teams. Remote-rosecrancekankakee location and schedule are...Remote work
- ...Behavioral Health Case ManagerDallas, TX 75206OverviewPosition Type: Full-Time Job Shift: Any Education... ...PURPOSE:The Behavioral Health Case Manager is part of a multidisciplinary clinical... ...management in office setting and/or remotely. This position is responsible for conducting...Remote workFull timeWork at officeWork from homeHome officeShift workWeekend workAfternoon shift
- ...Elliot Health System in Manchester, NH is seeking a Behavioral Health Case Manager who will provide clinical social work with pediatrics, adolescents, adults, and geriatrics... ...care across the continuum. The BHCM will work remotely with the EBHS team, ensuring effective...Remote work
- Centene Corporation is seeking a Behavioral Health Care Manager to develop and coordinate holistic care plans for members with complex mental health... ...area. The hybrid role combines in-person home visits with remote work and requires an active behavioral health license and...Remote workWork from homeMonday to Friday
$124 - $128 per hour
...poster from IMCS Group Dedicated Manager Leading Service Delivery... ...Title: Medical Director - Behavioral Health Duration: 6-month contract with... ...on performance. Location: Remote Shift Type: 8 am - 5 pm Flexible... ...activities pertaining to utilization review, quality assurance,...Remote workContract workFlexible hoursShift workWeekend work$60k - $100k
...Mission Millions of patients with behavioral health needs go undetected and untreated within... ...Role This is not a traditional care management role. You will not spend your days chasing... ...compliant clinical documentation Remote Work Ready: You are a self‑starter, highly...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
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