Utilization Review Clinician - Behavioral Health
$27.02 - $48.55 per hourCentene
About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse, ensuring that the level of care and services provided are medically appropriate. This fully remote role supports Oregon Medicaid and is ideal for candidates with independent clinical licensure and experience in behavioral health and utilization management. Highlights Pay: $27.02 - $48.55/hour Location: Remote, OR Schedule: Full-time, Day shift What You'll Do Evaluate member's treatment for mental health and substance abuse before, during, and after services. Perform prior authorization reviews related to mental health and substance abuse. Conduct concurrent reviews of behavioral health inpatient cases. Analyze behavioral health member data to improve service utilization. Provide education to providers, members, and families regarding behavioral health utilization processes. Interact with behavioral health healthcare providers to discuss levels of care and services. Engage with medical directors and leadership to enhance care quality and efficiency. Formulate and present cases in staffing and integrated rounds. Perform other duties as assigned. Comply with all policies and standards. Requirements Education: Graduate of an Accredited School of Nursing or Bachelor's degree required Master's degree for behavioral health clinicians required Experience: 2 - 4 years of related experience preferred Clinical knowledge and ability to review treatment plans related to mental health and substance abuse preferred Experience working with providers and healthcare teams preferred Licenses & Certifications: One of the following licenses required: LCSW (Licensed Clinical Social Worker) LMHC (Licensed Mental Health Counselor) LPC (Licensed Professional Counselor) LMFT (Licensed Marital and Family Therapist) LMHP (Licensed Mental Health Professional) RN (Registered Nurse) - State Licensure and/or Compact State Licensure required Benefits Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off plus holidays Flexible work schedules (remote, hybrid, field, or office work) About Centene Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges that support individuals, families, and communities. #J-18808-Ljbffr Centene
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a...SuggestedFull timeRemote workDay shift
Centene Corporation
Salem, OR2 days ago $27.02 - $48.55 per hour
...Performs a clinical review and assesses care related to mental health and substance abuse. Monitors... ...Medicaid by conducting behavioral health clinical reviews... ...health and (3) utilization management or review experience... ...for behavioral health clinicians required. Clinical...SuggestedHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Corporation
Salem, OR3 days ago- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental... ...to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a nursing...SuggestedRemote job
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity, conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals...SuggestedRemote workWork from home
Comagine.org
Salem, OR4 days ago $39.58 - $50.52 per hour
...557-2026-3 Department: Health and Human Services Division... ...Marion County Adult Behavioral Health is seeking a skilled and... ...duties, establishes goals and reviews results. SUPERVISION EXERCISED... ...relationships with consumers; accept and utilize administrative direction,...SuggestedHourly payFull timeContract workTemporary workPart timeWork experience placementImmediate startRemote workMonday to FridayFlexible hoursMarion County, OR
Salem, OR4 days ago- ...Mindoula Health's Collaborative Care Program (CCP) is expanding... ...life for patients living with behavioral health challenges and chronic... ...without barriers. Why Do Clinicians Choose Mindoula? Support for... ...including weekly psychiatric case review and close collaboration with...Full timeTemporary workRemote workMonday to Friday
Mindoula Health
Salem, OR9 days ago $49.56 per hour
...Recovery Village - Licensed Clinicians Wanted! We're... ...co-occurring mental health conditions, can begin... ...Systems is an integrated behavioral healthcare management... ...treatment plan reviews. Maintains healthy... ...electronic medical records utilizing HeatherAI. Proficient...Full timeWork experience placementReliefWeekend work2 days per week1 day per weekThe Recovery Village
Salem, OR5 days ago$49.56 per hour
...Recovery Village - Licensed Clinicians Wanted! We’re building... ...co-occurring mental health conditions, can begin... ...treatment plan reviews. Maintains healthy boundaries... ...counselor or other behavioral health related field.... ...electronic medical records utilizing HeatherAI. Proficient...Full timeWork experience placementReliefWeekend work2 days per week1 day per week$110k - $115k
...Job Description Job Description Integrated Behavioral Health Clinician (BHC) - Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage & Family Therapist (LMFT) Praxis Health is seeking a skilled and compassionate Behavioral...Work at officeRemote workMonday to FridayFlexible hoursPraxis Health
Salem, OR27 days ago$80k - $95k
...organized and proactive LPN Lead Clinician to join our leadership team. We... ...physicians, pharmacies, hospice, home health and other healthcare providers.... ...and facility processes. Review medical records, medications, diagnoses, behaviors and care needs. Help determine...Full timeImmediate startEverbloom Memory Care
Salem, OR3 days ago$1,735 - $1,846 per week
...Healthcare, Citrix, Dell, Epic (Care Everywhere, ClinDoc, Dorothy) Job Details Fusion Medical Staffing is seeking a skilled Behavioral Health RN for a 13-week travel assignment in Salem, OR. As a member of our team, you'll have the opportunity to make a positive...Temporary workShift workNight shiftFusion Medical Staffing
Salem, OR21 hours ago- ...The RN participates as a member of the health care team in delivering quality health care... ...services in person and/or by phone utilizing the nursing process and leadership skills... ...socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise...
Kaiser Permanente
Salem, OR1 hour ago - ...The RN participates as a member of the health care team in delivering quality health care... ...services both in person and by phone utilizing the nursing process and leadership skills... ...socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise...
Kaiser Permanente
Salem, OR1 hour ago - ...\n• Provide general medical care; review admission and medical history; conduct physical... ...examinations; maintenance of chronic health issues; care of acute health issues;... ...in peer review, quality assurance, and utilization review activities; assist with training...Shift workWeekend work
22nd Health Care LLC
Salem, OR12 days ago - ...n \n(a) Provide general medical care; review admission and medical history; conduct physical... ...examinations; maintenance of chronic health issues; care of acute health issues;... ...in peer review, quality assurance, and utilization review activities; assist with training...Shift workWeekend work
22nd Health Care LLC
Salem, OR12 days ago - ...Description: At Saint Alphonsus Health System, we are looking... ...and families. Utilizes resources wisely while... ...Vision, and Values in behaviors, practices, and... ..., and Twitter ( ! To review Oregon’s Anti-retaliation... ...26,000 physicians and clinicians across 25 states. Because...Full timeLive outLocal areaShift workDay shift
$1,729 - $1,839 per week
...surgery. This role involves assessing patient health before and after surgery, implementing... ...patients pre-operatively, including reviewing medical history, performing physical examinations... ...promptly to emergency situations utilizing Pre/post op nursing standards, policies,...Full timeContract workTemporary workShift workFusion Medical Staffing
Salem, OR1 day ago$1,729 - $1,839 per week
...surgery. This role involves assessing patient health before and after surgery, implementing... ...patients pre-operatively, including reviewing medical history, performing physical examinations... ...promptly to emergency situations utilizing Pre/post op nursing standards, policies,...Full timeContract workTemporary workShift workTravelNurseSource
Salem, OR1 day ago$55 - $70 per hour
...expand your expertise with our Clinicians in Action professional... ...activities to promote and maintain health. As necessary or... ..., including history, systems review, and application of appropriate... ...patient progress, attitudes, and behavior as related to rehabilitative...Full timeTemporary workPart timeH1bWork from homeVisa sponsorshipRelocation packagePowerback Rehabilitation
Salem, ORa month ago$55.06k - $110.29k
...Maintenance/Custodial, and Student Health Services. OSD also acts as a... ...who have severe emotional or behavioral problems and be working with... .... Teachers at OSD will utilize ASL for interactions with staff... ...candidates will be based on a review of the cover letter and...Permanent employmentFull timeTemporary workImmediate startFlexible hours$5,000 per month
...expand your expertise with our Clinicians in Action professional... ...activities to promote and maintain health. This position provides a... ..., including history, systems review, and application of appropriate... ...patient progress, attitudes, and behavior as related to rehabilitative...Full timeTemporary workPart timeH1bWork from homeVisa sponsorshipRelocation packageFlexible hoursPowerback Rehabilitation
Salem, ORa month ago$54.1k - $155.54k
...We're building a world of health around every individual - shaping... ..., Disease Management and Utilization Management. AHH delivers flexible... ...Perform medical necessity reviews. Required Qualifications... ...Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity...Hourly payFull timeLocal areaRemote workWork from homeFlexible hoursCVS Health
Salem, OR4 days ago$1,728 - $1,839 per week
...surgery. This role involves assessing patient health before and after surgery, implementing... ...patients pre-operatively, including reviewing medical history, performing physical examinations... ...promptly to emergency situations utilizing Pre/post op nursing standards, policies,...Temporary workShift workFusion Medical Staffing
Salem, OR3 days ago- ...Registered NurseBridgeway Community Health is currently seeking qualified Registered Nurse... ...Duties and ResponsibilitiesConducts reviews of client admits, gathers additional information... ...or licensed physician as needed. Utilizes appropriate physician's standing orders.Prepares...Full timeShift workAfternoon shift
Bridgeway Recovery Services Inc
Salem, OR5 days ago $5,000 per month
...expand your expertise with our Clinicians in Action professional... ..., including history, systems review, and application of appropriate... ...* medication management * health and wellness * community integration... ...progress, attitudes, and behavior as related to rehabilitative...Full timeTemporary workPart timeH1bWork from homeVisa sponsorshipRelocation packageFlexible hoursPowerback Rehabilitation
Salem, ORa month ago- ...Individualized Care contributes to Cardinal Health Clinical Operations is responsible for... ...case intake and follow-up activities. Review and assess safety information received... ...reporting of safety-related information. Utilize strong clinical judgment and critical...Full timeWork at officeLocal areaRemote work
Cardinal Health
Salem, OR1 day ago - ...At Active Path Mental Health, our mission is to provide... ...leading a team of clinicians, and willing to learn... ...relationships with patients. Utilizing patient feedback to... ...and clinical staff to review treatment plans weekly... .... Three years of behavioral health, preferred....Part time
Active Path Mental Health
Salem, OR20 days ago - ...responsibilities: • Provide general medical care; review admission and medical history; conduct... ...examinations; maintenance of chronic health issues; care of acute health issues;... ...in peer review, quality assurance, and utilization review activities; assist with training...Shift workWeekend work
22nd Health Care LLC
Salem, OR1 day ago $55 - $70 per hour
...Program, and expand your expertise with our Clinicians in Action professional development... ...evaluates patients, including history, systems review, and application of appropriate tests... ...patient progress, attitudes, and behavior as related to rehabilitative potential....Full timeTemporary workPart timeH1bWork from homeVisa sponsorshipRelocation packagePowerback Rehabilitation
Salem, ORa month ago$36.01 - $46.31 per hour
...requested by clinical team.Administers and reviews PPD (Tuberculosis testing for purified... ...system.Maintains dialogue with other health care professionals (dental, mental health... ...have the ability to resolve conflict while utilizing conflict management philosophies.Must be...Work at officeLocal areaConfederated Tribes of Grand Ronde
Salem, OR5 days ago
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