Remote Behavioral Health Utilization Specialist
4062 Aetna Resources, LLC
- Remote job
CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. The position features a 12.5% shift differential, weekend/evening schedule, and holidays. You will review preauthorization requests, coordinate decisions with providers, and manage crisis calls with clinical judgment to ensure timely, appropriate BH services. Qualified candidates hold an independent BH license, 3+ years in behavioral health and with mental health or substance use #J-18808-Ljbffr 4062 Aetna Resources, LLC
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
- ...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 workFull time
- Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. You will collaborate with...Remote jobMonday to Friday
- ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and appeals...Remote work
- ...Bradford Health Services seeks an experienced Utilization Review Specialist to join our Birmingham-based team. You will evaluate patient records, treatment plans, and clinical data to determine medical necessity and appropriate level of care while ensuring regulatory...Remote work
- ...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
- ...Brynn Marr Hospital in Jacksonville, NC seeks a Utilization Reviewer to assess patient records, determine appropriate levels of care... ...psychology, sociology, social work, or related fields. Monday–Friday day shift, fast-paced behavioral health environment. #J-18808-Ljbffr...Monday to FridayDay shift
- ...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
- ...clinician to review ABA services and health status across the care... ...and alignment with behavioral health guidelines. The role involves... ...reviews, data analysis to improve utilization, and collaboration with BH... ...CST is required, with flexible remote/hybrid options. #J-18808-...Remote workFlexible hours
- ...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 timeTemporary workPart timeRelief
- Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and communication of medical services and benefit determinations. This remote role requires clinical knowledge, strong communication, and independent...Remote jobMonday to FridayShift work
$46.76 - $51.76 per hour
...Behavioral Health Analyst Pay Range: $46.76hr - $51.76hr Requirement/Must Have: Masters Degree or higher in Behavior Analysis, Psychology... ...stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA...Remote jobWork at office- ...into CFT meetings. Demonstrates deeper knowledge of behavioral health management skills. Primary Location Remote Department PS Network - OhioRise Shift Day (... ...to meet youth and families’ needs as identified. Utilizing culturally competent and trauma informed care principals...Remote workFull timeWork at officeShift work
$18.5 - $42.35 per hour
We're building a world of health around every individual - shaping a more... ...and one community at a time. Behavioral Health Patient Engagement Specialist is a remote, patient‑facing role that facilitates... .... Throughout the day you will utilize techniques to outreach patients...Remote workHourly payFull timeTemporary workWork at officeLocal area- BHH Specialist: Behavioral Health Home - 7002 Job Category: Direct Care Requisition Number: BHHSP007002 Posted... ...with their clients. Flexible Work Style : Remote day potential and collaborative, learning-oriented atmosphere. Utilize a company vehicle to visit clients in...Remote workFull timePart timeLocal areaRelocation packageMonday to FridayFlexible hours
$22 - $27.14 per hour
Patient Experience Specialist (PES) II-Behavioral Health - Full TimeOur service area includes Delta, Montrose,... ...of our clinics in our service area* Remote work is not available at this time.Position... ...eligibility requirements commonly utilized in nonprofit healthcare settings.Two...Remote workHourly payFull timeContract workSummer workImmediate start- Tufts Medicine Behavioral Health Hospital is seeking an Utilization Specialist to optimize reimbursement and care utilization in the new Malden, MA facility. This paid role emphasizes collaboration with managed care and clinical staff. Responsibilities include reviewing...
- Ambrosia Behavioral Health in West Palm Beach, FL is seeking a seasoned Utilization Review Specialist to join our Revenue Cycle team. You will manage initial and concurrent authorizations and coordinate with payers to ensure medical necessity and appropriate levels of...
- Skyway Behavioral Healthis an innovative center that goes beyond the treatment of mood... ...for all patients. Role Description Utilization Review Specialist (URS) reports to the Utilization Review... ...services and documented mental health needs. Demonstrates a high level of accuracy...Temporary workLocal area
- Fuller Hospital in South Attleboro, MA, seeks a full-time Utilization Review Coordinator to monitor effective use of health care resources across inpatient and outpatient behavioral health services. The role interfaces with outside agencies, payers, and managed care companies...Full time
- ...for member transitions in the community, the full-time Behavioral Health Transition Specialist will coordinate care plans, educate enrollees about services... ..., and assist with member assessments while working remotely from Texas. Key responsibilities Supports care...Remote workFull time
- ...Athra Systems is seeking an experienced Remote Behavioral Health Medical Coder to join our remote coding team. You will review provider documentation and assign ICD-10-CM, CPT, HCPCS, and E/M codes for behavioral health services, supporting accurate reimbursement and...Remote work
- ...Center in Tempe, AZ is seeking a Hotline Specialist to support callers on the crisis line,... ...to available services. The role is remote but you must reside in Arizona. You will... ...responses. A Bachelor's degree and 5+ years in behavioral health are required; crisis experience is...Remote jobImmediate startWork from home
- SpringHealth Behavioral Health and Integrated Care is seeking a Virtual BCaBA to support clients with neurodevelopmental needs through evidence-based behavior analytic services. The role focuses on assessment, planning, and training within a flexible, work-from-home schedule...Remote jobWork from homeFlexible hours
$92k
...Behavioral Health Specialist Assesses psychological health using current American Psychological Association Diagnostic and Statistical Manual... ...consultation with a team of licensed providers. Perform in a remote setting with an anticipated 25% travel requirement within...Remote workFull timePart timeWork at office$45 - $70 per hour
...DAngelo Larry Summers and Jack Dorsey . Position: Behavioral Health Expert AI Safety and Model Evaluation Type: Contract Compensation: $45$70/hour Location: Remote Commitment: 2040 hours/week Role Responsibilities...Remote workFull timeContract workSummer workWeekday work- ...Job Description Job Description FULLY REMOTE Conducting thorough assessments to identify the psychological and behavioral needs specific to justice-involved clients.... ...Educating clients and their families about mental health issues and coping strategies. Advocating...Remote workDaily paidTrial period
- ...Job Description - Behavioral Health Specialist Job Title: Behavioral Health Specialist Location: [City, State] / Remote / Hybrid Job Summary We are seeking a compassionate and dedicated Behavioral Health Specialist to provide assessment...Remote workWork at officeFlexible hours
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
- ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic...Remote workWork from home
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