Remote Behavioral Health Utilization Review Clinician
Centene Corporation
- Remote job
Centene Corporation, located in Columbus, Ohio, is seeking a clinical professional for their Medical Management/Health Services team. The position involves performing clinical reviews and evaluations related to mental health and substance abuse, ensuring appropriate levels of care. Preferred candidates will have relevant experience and licensing, including LCSW, LPC, or RN certifications. This role offers competitive pay, flexible work options, and a comprehensive benefits package, making it an ideal choice for those passionate about improving care quality for members. #J-18808-Ljbffr Centene Corporation
$27.02 - $48.55 per hour
...Medical Management/Health Services team.... ...Performs a clinical review and assesses care... ...review of behavioral health (BH) inpatient... ...and appropriate utilization of services Provides... ...health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...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... ...spouses. Interns will conduct clinical reviews, communicate with providers, and document findings...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...Remote workInternshipWork at officeWeekday work
- ...LLC is looking for a clinical professional to assess and review care related to mental health and substance abuse. This role involves monitoring... ...must have relevant degrees, with a Master's preferred for behavioral health roles, and are required to have multiple specific...Remote jobFlexible hours
- ...diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health... ...evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have...Remote jobFlexible hours
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National... ...conducting medical necessity reviews for behavioral health services while... ...RN license. This position supports remote work, providing work-life balance while...Remote jobInternship
- Humana is looking for a Utilization Management Behavioral Health Registered Nurse (RN) Intern to support the National... ...role includes conducting clinical reviews, coordinating with healthcare... ...health experience. The position allows remote work and offers a weekday schedule....Remote jobInternshipWeekday work
- ...members or spouses. The role focuses on conducting clinical reviews and supporting care management. Candidates must have an... ...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
- ...Nurse (RN) Intern to conduct clinical reviews and support healthcare initiatives. This... ...military spouses, providing key training in a remote work setting. Key responsibilities... ...have a valid RN license and clinical behavioral health experience. Ideal candidates possess skills...Remote workInternship
- ...healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance... ...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
- ...This role involves conducting clinical reviews for prior authorization requests and documenting... ...have at least two years of clinical behavioral health experience. Proficiency in MS Office... ...software is preferred. The role is remote and offers a structured weekday schedule...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
- ...& Associates! *Must have Mental Health and/or Substance Abuse experience... ...Holidays Work-life balance. Remote setting ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...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 and ensuring compliance with guidelines. Applicants should be transitioning military...Remote workInternship
$27.02 - $48.55 per hour
Centene Corporation is seeking clinical professionals to assess care related to mental health and substance abuse. You will evaluate treatments and perform prior authorization reviews to determine appropriateness. A Master's degree and licenses such as LCSW or RN are...Remote jobHourly payFlexible hours- ...professional to join its Medical Management/Health Services team, focusing on mental health... ...will have a background in nursing or behavioral health, along with necessary licensures... ..., and flexible work schedules including remote and hybrid options. #J-18808-Ljbffr Centene...Remote jobFlexible hours
- Humana is looking for a Behavioral Health Registered Nurse (RN) Intern to join the National Medicaid... ...spouses, focusing on medical necessity reviews and clinical decision-making.... ...behavioral health experience. The position is remote, ideally for candidates in Kentucky....Remote jobInternship
- ...Utilization Review Clinician, Advocate, Remote We are an equal employment opportunity employer. All qualified applicants will receive consideration... ...provides members and providers with information on behavioral health benefits and community resources. Candidates...Remote workDaily paid
- ...active RN licensure and offers an opportunity to engage in clinical reviews and coordination within the National Medicaid team.... ..., communicating with providers, and documenting findings. This remote role promotes flexibility and is essential to support healthcare...Remote workInternship
- ...Harris Health System, Inc. is seeking a Behavioral Health Utilization Manager to perform concurrent and discharge reviews on patients. The role involves applying approved criteria for admissions... ...utilization review. The position is remote, requiring strong critical thinking...Remote workWork at office
- ...Community Health Choice, Inc. seeks a Behavioral Health Utilization Manager to oversee concurrent and discharge reviews for patients. This role requires applying medical guidelines and... ...care and managed care review processes. Remote work is available with an emphasis on...Remote work
- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote workInternship
$50k
Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field...Remote job$33.6 - $51.39 per hour
...This is a great opportunity for a local remote position. There is no communication... ...all units/staff (commercial, behavioral health, inpatient, etc.) PRN (at minimum,... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work- tango is seeking a UM Clinical Reviewer in Phoenix, AZ to ensure the proper utilization of home health services. This fully remote role involves reviewing prior authorization requests, evaluating medical records, and collaborating with providers to promote high-quality...Remote job
$27.02 - $48.55 per hour
Centene Corporation in Missouri is seeking a clinical professional for their Medical Management/Health Services team. The role involves evaluating and assessing mental health and substance abuse services, ensuring appropriateness of care. Candidates must have a degree...Remote jobHourly pay$27.02 - $48.55 per hour
Centene Corporation in New York is seeking a clinical professional to join their Medical Management/Health Services team, focusing on mental health and substance abuse evaluations. The ideal candidate will have a Bachelor's or Master's degree with necessary licensure....Remote jobHourly payFlexible hours- ...Summary: This position has a remote option for those living... ...hospital as needed. The Utilization Review Nurse is responsible for determining... ...with other members of the health care team to ensure the... ...'s member's health care for behavioral health care management....Remote workFull time
- ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high... ...Management, as appropriate. Manages health care within the benefits structures per... ...desired. Skills, Knowledge, Competencies (Behaviors) Proficiency in conducting prospective,...Remote workWork at office
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