Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Behavioral Health Utilization Review Specialist (Remote)

State of Arizona

The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee for Service population, based on standards of care and relevant regulations. Key duties include collaborating with providers and AHCCCS staff, reviewing policies, and supporting education for providers and tribal staff. #J-18808-Ljbffr

Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Behavioral Health Utilization Review Specialist (Remote) in New York, NY vacancy
  •  ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior...  ...necessity criteria while working remotely. Key responsibilities Verify insurance... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant...  ...optimization, compliance, and high-quality patient care across behavioral health services. #J-18808-Ljbffr
    Remote work

    The Florida House

    New York, NY
    4 days ago
  • $90.9k - $129.9k

     ...Apply your expertise to adjudicate Behavioral Health prior authorizations based on medical...  ...for this role, rather you will provide utilization review and quality assurance. Your role in...  ...expect in this role ~100% Remote home office. ~ Full-time position... 
    Remote work
    Full time
    Work experience placement
    Home office
    Flexible hours

    Gainwell Technologies LLC

    Wisconsin
    2 days ago
  •  ...monitoring the Mental Health Plan and Drug-Medi-...  ...-ODS), including review of medical records to ensure proper utilization of treatment...  ...clients receiving behavioral health treatment. UR Specialists also interpret, advise...  ...option for hybrid remote work may be available... 
    Remote work
    Contract work
    Local area
    Trial period
    Flexible hours

    santacruzcountyca.gov

    Santa Cruz, CA
    3 days ago
  • $24 - $26 per hour

     ...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations... 
    Remote work
    Full time
    Monday to Friday

    Principles Recovery Center

    United States
    4 days ago
  •  ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess treatment plans and...  ...intensity settings. The role is full-time and remote with occasional local travel within the Kent... 
    Remote work
    Full time
    Local area

    Kent County CMH Authority

    Grand Rapids, MI
    4 days ago
  •  ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically...  ...We are seeking an experienced specialist who is passionate about making...  ...preferred. ~2-3 years of utilization review experience in behavioral health... 
    Remote work
    Daily paid
    Full time

    The Florida House

    Remote
    10 days ago
  •  ...Utilization Review SpecialistMesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities...  ...others. As a Utilization Review Specialist joining our team, you're...  ...Mesa SpringsMesa Springs is a behavioral health hospital offering exceptional... 
    Temporary work
    Part time
    Relief

    LifePoint Health

    Fort Worth, TX
    3 days ago
  •  ...Pavilion Behavioral Health System in Champaign, Illinois, is seeking a Full-time Utilization Review Coordinator to ensure accurate chart reviews and to obtain hospital stay certifications from insurers. The role supports behavioral health and addiction treatment across... 
    Full time

    Laurel Ridge Treatment Center

    Champaign, IL
    2 days ago
  •  ...Job Description Utilization Review Specialist - Full Time Days - Onsite Your experience matters...  ...Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network...  ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional... 
    Full time
    Temporary work
    Part time
    Relief

    LifePoint Health

    Fort Worth, TX
    4 days ago
  •  ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a strong team-oriented environment... 
    Remote work
    Work at office

    HealthHelp

    New York, NY
    2 days ago
  •  ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial... 
    Remote work

    Cincinnati Children's Hospital

    Cincinnati, OH
    1 day ago
  •  ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure... 
    Remote work
    Work at office

    CCF

    New York, NY
    5 days ago
  •  ...CVS Health is hiring a Behavioral Health Precertification/ Utilization Management Clinician to work remotely with a consistent weekday schedule. The role focuses on reviewing behavioral health authorization requests and ensuring appropriate levels of care using evidence... 
    Remote work
    Weekday work

    CVS Health

    Central City, KY
    1 day ago
  • $69.39k - $88.61k

     ...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department. The role requires a Bachelor... 
    Remote work
    Full time

    Cincinnati Children's

    New York, NY
    2 days ago
  • Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess care levels, and authorize mental health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC... 
    Remote work
    Day shift

    Centene Corporation

    New York, NY
    2 days ago
  •  ...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 nationwide... 
    Remote work
    Full time
    Day shift

    Centene Corporation

    Salem, OR
    1 day ago
  • Centene Corporation is seeking a remote Behavioral Health/Utilization Review professional to support the California Market. The role requires nursing or bachelor’s degree with 2–4 years of related experience and appropriate behavioral health licensure. The position offers... 
    Remote work
    Full time

    Centene Corporation

    California City, CA
    5 days ago
  • Camber Connect in Olathe, KS seeks a detail-oriented Utilization Review Specialist to bridge clinical teams and health plans, managing initial, concurrent, and...  ...day review, with 2 days in the office and 3 days remote. The role demands accuracy, urgency, and advocacy... 
    Remote work
    Work at office

    KVC Health Systems, Inc.

    Olathe, KS
    1 day ago
  •  ...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 work
    Work from home

    Comagine Health

    Oregon, WI
    3 days ago
  •  ...Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and appropriateness of behavioral health services. You will review clinical...  ...documentation, perform utilization reviews, and document...  ...youth, and adults. This remote, Oregon-based role... 
    Remote work

    COMAGINE HEALTH

    Salem, OR
    3 days ago
  • Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate... 
    Remote job

    IntelliResume

    Seattle, WA
    5 days ago
  •  ...At Health New England, we're committed to ensuring our members...  ...appropriate, and compassionate behavioral health services. As a Behavioral Health Utilization Management Reviewer, you'll play a vital role in...  ...– this position is fully remote. Candidate must hold professional... 
    Remote work
    Hourly pay

    Baystate Health

    New York, NY
    4 days ago
  • 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 Health
    Remote job

    Comagine Health

    Oregon, WI
    3 days ago
  • Evolve Treatment Centers in West Palm Beach, Florida, is seeking a full-time Utilization Review Specialist. This role involves initiating pre-certification authorizations, communicating with facilities, and maintaining patient census. Candidates should have a High School... 
    Full time

    Praesum Healthcare

    West Palm Beach, FL
    2 days ago
  •  ...Utilization Review Specialist Are you looking for a fast-paced clinical role where...  ...treatment teams and health plans. You will manage initial...  ...corporate office, 3 days remote. What You Will Do...  ...Sociology, Education, Applied Behavioral Sciences) or Criminal Justice... 
    Remote work
    Work at office

    KVC Health Systems

    Olathe, KS
    6 hours ago
  •  ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified...  ...(UR) Specialist to support our behavioral health programs. This role plays a... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Diversified Treatment Alternative Centers (DTAC)

    Chadds Ford, PA
    1 day ago
  •  ...Job Description Job Description Behavioral Health Utilization Management Specialist   Location: Utah (Hybrid & Remote Options Available)  Job Type: Full-time  Department...  ...You’ll Do  Champion patient care by reviewing medical records and clinical documentation... 
    Remote work
    Full time
    Work at office

    Row Partners

    Draper, UT
    17 days ago
  •  ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create...  ..., the insurance field or in the behavioral health field preferred A minimum of two...  ...and background check. Satisfactory drug screen Part Time Remote Role... 
    Remote work
    Part time
    Work at office
    Flexible hours

    Charles River Recovery

    United States
    5 hours ago
  •  ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based...  ...relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including... 
    Remote work
    Contract work
    Work from home

    Mass Digital Health

    Quincy, MA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Behavioral Health Utilization Review Specialist (Remote). Be the first to apply!