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
- ...Gainwell Technologies is seeking a Behavioral Health Prior Authorization reviewer to adjudicate submissions for Substance Use Disorder Treatment... ...Adult Mental Health Day Treatment. This 100% remote role involves utilization review and quality assurance with no direct...Remote work
- ...Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental health and substance use services. This remote role may require on-site travel to Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care...Remote workFull time
$130 - $145 per hour
...Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built... ...Management. Work Location: This position is fully remote and open to candidates residing in the U. S. , excluding...Remote workHourly payFull timePart timeWork from homeHome office- ...Blue Cross Blue Shield of Massachusetts, Inc. is seeking a Clinical Utilization Reviewer to support members with complex health needs by authorizing appropriate services and promoting high-quality care. The role blends independent work with team collaboration to apply...Suggested
- ...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
- ...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
- ...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
- ...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
- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
- ...organizations in the world. Utilization Management (UM) Specialists... ...activities, such as admission review, concurrent review,... ...weekend requirements. This remote role is limited to Florida, Ohio... ...process. Cleveland Clinic Health System is pleased to be an equal...Remote workHourly payFull timeReliefWork at officeWeekend work
- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding... ...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
$140 - $145 per hour
...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 workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work$65k - $88.6k
# **Become a part of our caring community**The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support... ...member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for...Remote workWeekly payFull timeWork at officeWork from homeHome officeMonday to FridayFlexible hours- ...Centene Management Company LLC is seeking a clinical reviewer for behavioral health with an active North Carolina license. The role focuses on... ...across the care continuum. The ideal candidate has BH utilization review experience, strong communication skills, and the...Remote work
$65k - $88.6k
...Join Our Caring Community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination... ...member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayFlexible hours- ...Centene Corporation is seeking a remote BH utilization reviewer to assess mental health and substance abuse care, authorize services, and present findings to... ...4 years of experience and an applicable license. A master’s in behavioral health is preferred. #J-18808-Ljbffr...Remote work
- ...Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for... ...coordination of care across providers. The position offers remote flexibility with a 8am–5pm schedule on days (Tuesday-...Remote workWeekend work
- ...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
$86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access... ...the nation's leaders in health care solutions, we offer... ...specialty pharmacy services, behavioral health services, and other... ...of a supervisor, the Utilization Management Reviewer evaluates medical necessity...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend work$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...) Bachelor’s degree in a health or behavioral health-related field required...Remote work- ...Utilization Reviewer-Full Time On-Site Full-time, Monday through Friday Standard 40-hour work week Flexible start time between 7:00 AM and 8:30 AM Utilization Reviewer Behavioral Health Programs Northwestern Medicine Ben Gordon Center DeKalb, Illinois...Full timeWork at officeLocal areaRelocation packageMonday to FridayFlexible hoursShift workWeekend workWeekday work
- ...Description Physician Peer Reviewer – Multiple Specialties in Texas... ...Organization (IRO) with Health Utilization Management (HUM) accreditation... ...Care Medicine, Developmental-Behavioral Pediatrics, Pediatric... ...performing external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
$40 - $45 per hour
...re a clinically driven RN or LPN with utilization management experience and a passion... ...meaningful coverage decisions, this remote opportunity offers the chance to directly... ...your expertise in medical necessity review and behavioral health services helps ensure members receive...Remote workHourly payTemporary workMonday to Friday$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...this role, rather you will provide utilization review and quality assurance.Your role in... ...proceduresWhat you should expect in this role100% Remote home office.Full-time position....Remote workFull timeHome officeFlexible hours- ...Utilization Management Coordinator This position is responsible for coordinating, integrating... ..., and monitoring the utilization of behavioral health (BH) or physical health (PH) services... ...cases to the Medical Director for review. Refer to and work closely with Case...Contract workWork at office
$27.02 - $48.55 per hour
...Purpose Performs a clinical review and assesses care related to mental health and substance abuse.... ...concurrent review of behavioral health (BH) inpatient to... ...and appropriate utilization of services Provides education... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours$29.29 - $50.38 per hour
...Treatment Plans. Will complete thorough review of each document, provide clinical... ...IATP standards. LPHA reviewer provides behavioral health assessment, intervention, and consultation... ...screening and/or assessment tools and utilization of results in treatment planning....Full timeLocal areaImmediate startRelocationRelocation packageShift work$91.7k - $163.7k
...our team will directly improve health outcomes by connecting people... ...Public Sector or Applied Behavior Analysis which involves applying... ...determinations.Services reviewed may include, but are not limited... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- ...A leading Independent Review Organization is seeking a Board-Certified Physical Medicine and Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and supplemental income. Responsibilities include reviewing medical records...Remote workExtra incomeFlexible hours
- ...ezURs is seeking board-certified Pain Management Physicians for fully remote Physician Consultant positions. As a URAC accredited Independent Review Organization, our physicians perform utilization reviews, disability, and peer reviews across multiple lines of business...Remote workFor contractors
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