Remote Behavioral Health Utilization Manager, RN
Angelina College
- Remote job
Community Health Choice is seeking a Behavioral Health Utilization Manager, RN, who can perform patient reviews and apply clinical criteria for care justification. This role requires a Bachelor's degree in nursing and a current Texas Registered Nurse license. Ideal candidates will have two years of experience in psychiatric care and in managed care utilization review. This remote position offers flexibility and is part of a nonprofit health plan dedicated to serving Texans, particularly those in underserved communities. #J-18808-Ljbffr Angelina College
- 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
$69.5k - $100.5k
WellSense Health Plan is looking for a Behavioral Health Utilization Manager in Boston, MA. This full-time remote role involves ensuring appropriate delivery of mental health and substance use services while making critical clinical decisions. The ideal candidate will have...Remote workFull time- WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure effective delivery of mental health services. This role emphasizes clinical decision... ...experience in behavioral health management. Remote work is available, but candidates might need to travel...Remote job
- ...Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical role in ensuring the appropriate and effective delivery... ...Work Environment and Physical Demands: Primarily remote role with periodic travel to the Charlestown, MA office...Remote workWork at office
- The Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned patients. Applies approved criteria for justification of admission and continued stay in the appropriate level of care. Notifies the Medical Director regarding the review...Suggested
$86.4k
Company : Highmark Health Job Description : JOB SUMMARY The Product Manager, Behavioral Health & Wellness will be instrumental in... ...wellness products within the Utilization Management function. This role... ...execution. This role can be hybrid or remote. If you are within 50 miles of...Remote jobFor contractorsWork at officeLocal area3 days per week- ...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 and is targeted at transitioning military service members or military spouses. Interns will conduct...Remote workInternship
- ...Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid team, focusing on clinical reviews and patient care. Candidates must be transitioning military service members or...Remote workInternshipWork at officeWeekday work
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National Medicaid team. This role involves conducting medical... ...an active RN license. This position supports remote work, providing work-life balance while contributing...Remote jobInternship
- Humana is looking for a Utilization Management Behavioral Health Registered Nurse (RN) Intern to support the National Medicaid team. The role includes conducting... ...behavioral health experience. The position allows remote work and offers a weekday schedule. #J-18808-Ljbffr...Remote jobInternshipWeekday work
- A dedicated behavioral health organization is seeking a Florida-licensed Registered Nurse for a remote Geriatric Behavioral Health Care Manager role. The RN will deliver ongoing mental health support through telehealth, manage dementia care, and guide caregivers. This...Remote jobFlexible hoursWeekend workAfternoon shift
- Highmark Health in Denver is seeking a Product Manager for Behavioral Health & Wellness to shape our product vision within the Utilization Management function. This role involves developing execution... .... With options for hybrid or remote work, you will need to communicate...Remote work
- ...strategic and experienced Director of Utilization Review to lead and optimize utilization management and associated administrative... ...key hospital processes in the behavioral health continuum. The ideal candidate must have a current RN license and at least five years of...
- ...focuses on conducting clinical reviews and supporting care management. Candidates must have an active RN license in Kentucky or a compact license and at least two years of behavioral health experience. This remote role operates weekdays from 8:00 AM to 4:30 PM Central,...Remote workInternshipWeekday work
- ...seeking a Registered Nurse (RN) Intern to conduct clinical reviews... ...providing key training in a remote work setting. Key... ...valid RN license and clinical behavioral health experience. Ideal candidates... ...MS Office, and a keen interest in managed care. #J-18808-Ljbffr...Remote workInternship
- ...Harris Health System, Inc. is seeking a Behavioral Health Utilization Manager to perform concurrent and discharge reviews on patients... ...'s in nursing, a current Texas RN license, and have experience in... ...utilization review. The position is remote, requiring strong critical...Remote workWork at office
- ...conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must 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
- ...Applicants must hold an active RN license and have at least two years of clinical behavioral health experience. Proficiency in MS Office... ...is preferred. The role is remote and offers a structured weekday... ...opportunity to gain experience in the managed care industry. #J-18808-Ljbffr...Remote workInternshipWeekday work
- ...Community Health Choice, Inc. seeks a Behavioral Health Utilization Manager to oversee concurrent and discharge reviews for patients. This role requires applying medical... ...care and managed care review processes. Remote work is available with an emphasis on teamwork and...Remote work
- ...COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of clinical... .... The position offers a remote work option along with comprehensive...Remote work
$66k - $96.03k
...Job Summary The Practice Manager, reporting to the... ...management of Counseling & Behavioral Health Department at Charlestown Community... ...address issues, as needed, utilizing data and reports relevant to... ...museums to sporting events) Remote Type Onsite Work Location...Remote workTraineeshipWork at officeShift 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... ...members or spouses and hold an active RN license in Kentucky or have an enhanced compact...Remote workInternship
- Humana is looking for a Behavioral Health Registered Nurse (RN) Intern to join the National Medicaid team. This internship serves transitioning military... ...years of behavioral health experience. The position is remote, ideally for candidates in Kentucky. #J-18808-Ljbffr HumanaRemote jobInternship
- Providence Health & Services is seeking a Clinical Program Manager RN for full-time evening shifts at Providence Little Company of Mary in Torrance, CA. This... ...nursing degree and possess relevant experience in Utilization Management. Join us to be part of a supportive...Remote jobFull timeAfternoon shift
- About Company: Comagine Health is a national, mission-... .... Our talented remote workforce spans the country... ...employee is an active RN and based in Alabama.... ...clinical staff who conduct utilization review and/or specialty... ...environment. 1 year of medical management / utilization review...Remote workContract work
- ...mission to inspire health and make it easy.... ...hybrid, onsite or remote. While the majority... ...self‑efficacy in managing their health condition... ...(NLC) as an RN, or active registration... ...‑specific needs, behavioral health needs, and... ..., managed care, utilization management, and quality...Remote jobFull timeContract workWork experience placementWork at office1 day per week
- ...company is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This position... .... Candidates must have an active RN license and at least two years of clinical... ...health. The internship is remote, requiring a conducive home work environment...Remote workInternshipWork from homeWeekday work
$91.7k - $163.7k
UnitedHealth Group is seeking a Clinical Program Manager to oversee a remote team managing Behavioral Health services in New York. This role includes responsibilities for utilization management and case management, requiring a licensed clinician with extensive experience...Remote job$91.7k - $163.7k
Capacity Path is looking for a Clinical Program Manager to oversee a remote team of Behavioral Health Care Advocates. Responsibilities include managing utilization management and case management for inpatient and outpatient services. The ideal candidate will hold an active...Remote jobMonday to Friday
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