Remote Behavioral Health Utilization Reviewer
Comagine Health
Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's degree, active clinical licensure, and have at least three years of direct patient care experience. The position also requires personal transportation and ability to travel. Comagine offers a supportive remote work environment with comprehensive benefits. #J-18808-Ljbffr
- ...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
- ...Description *Shifts are weekdays. The Utilization Reviewer reflects the mission, vision, and values of NM, adheres to the organization’s Code... ...minimize financial risk to patient and facility. Understands health care benefit plan provisions and managed care contracting,...SuggestedFor contractorsReliefWork at officeLocal areaRelocation packageShift workWeekday work
- ...Lifepoint Health® is seeking a Full-time Utilization Review Specialist at Beckett Springs in Ohio. This role is essential in ensuring patients receive the necessary services through effective communication and advocacy with insurance providers. The ideal candidate will...SuggestedFull time
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
$174.07k - $374.92k
...Were building a world of health around every individual shaping a more connected, convenient and compassionate... ...time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is...Remote workHourly payFull timeLocal area- ...organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical... .... A comprehensive benefits package including health plans and 401(k) is offered, promoting equality...Remote work
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The... ...Medicine, preferably with experience in health insurance. This position offers a... ...opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible 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
- ...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
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...independently applies medical and behavioral health guidelines to authorize services,... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend work
- ...WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure effective delivery of mental health services. This role emphasizes clinical... ...significant experience in behavioral health management. Remote work is available, but candidates might need to...Remote work
- ...Santa Barbara Cottage Hospital is seeking a Utilization Review Clinician/Advocate for a remote Per Diem role. This position involves providing telephonic... ...Advisors, and provide vital information on behavioral health benefits and community resources. #J-18808-Ljbffr...Remote workDaily paid
- ...leading healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will have over 5... ...benefits starting on the first day of employment, including health coverage and a supportive work environment focused on...Remote workFull time
$86k - $154.7k
...for the Psychologist Reviewer role at RemoteWorker... ...our Medical Management/Health Services team. Centene... ...Centene is hiring a Remote Psychologist – Join Our... ...for improving access to behavioral health care? Centene... ...well as participating in Utilization Management clinical...Remote workFull timeWork at officeRelocation packageFlexible hours- ...Utilization Management Behavioral Health Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans...Remote workWork experience placementRotating shift
- ...corresponding level of care utilizing evidence-based criteria. Responsibilities... ..., and Case Management. Reviews the appropriateness of... ...Collaborates with family, health care team, payors, and... ...Partners-in-Caring process and the behavioral expectations in all interactions...Contract workWork experience placementFlexible hours
$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...Performs a clinical review and assesses care related... ...concurrent review of behavioral health (BH) inpatient... ...quality and appropriate utilization of services Provides... ...approach to work with remote, hybrid, field, or office...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Description Physician Peer Reviewer – Multiple Specialties in Texas... ...Organization (IRO) with Health Utilization Management (HUM) accreditation... ...Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency... ...reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
- ...Associates! *Must have Mental Health and/or Substance Abuse... ...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...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...company is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This... ...or spouses and focuses on clinical review, communication with providers, and... ...behavioral health. The internship is remote, requiring a conducive home work environment...Remote workInternshipWork from homeWeekday work
- ...spouses. This internship will involve conducting clinical reviews, communicating with healthcare providers, and... ...in Kentucky and have at least two years of clinical behavioral health experience. The role is remote, focusing on healthcare quality assurance and compliance...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
- ...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
- ...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
$211.2k - $277.2k
...Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack... ...Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Excellus BCBS is hiring for a Utilization Management position based in... ...and monitoring services for behavioral health and ensuring compliance with... ...pre-service clinical reviews and collaborating with healthcare... ...salary range and potential for remote work based on departmental...Remote work
- ...involving the coordination and monitoring of behavioral and physical health services in Town of De Witt, NY. The... ...clinical experience and knowledge of utilization management, with responsibilities including performing clinical reviews and collaborating with providers....Remote work
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