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
- ...Comagine Health is seeking a Clinical Reviewer to improve access to behavioral health services in Oregon. This remote position involves reviewing clinical documentation, assessing medical necessity, and coordinating services for children and adults. Candidates must possess...Remote work
- ...Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity... ...judgment in their application. Work Arrangement Remote role Monday through Friday from 8:00 AM EST to 5...Remote workWork at officeMonday to FridayFlexible hoursWeekend work
- ...Responsibilities Utilization Reviewer Opportunity! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of psychiatric services, as well as adults who suffer from a chemical dependency, dual...SuggestedLocal area
- ...Utilization Review Coordinator Opportunity Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of psychiatric services, as well as adults who suffer from a chemical dependency, dual diagnosis...SuggestedLocal area
- ...Blue Shield of CA is seeking a Behavioral Health Utilization Management Clinician, Senior to join the team in Redding, California. In this role, you will conduct clinical reviews for mental health and substance use authorization requests, ensuring adherence to compliance...SuggestedWork at office
$93.12k - $167.62k
...of Georgia is looking for a Psychologist Reviewer – ABA to work virtually and collaborate with medical directors for behavioral health services. This role requires a Ph.D. or Psy... ...practice. Candidates will ensure proper utilization of plan benefits and mentor staff. The...Remote work- ...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
- ...Memorial Physician Practices is seeking a Utilization Review Specialist in Tucson, Arizona, to facilitate clinical reviews and advocate for patients in need of mental health services. The ideal candidate will have at least a Bachelor’s degree, previous experience in utilization...Flexible hours
- ...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
- ...Description StarCare Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team... ...in a hybrid work environment (combination of remote and on-site) and must be able to work on-site...Remote workFull timeWork at officeMonday to Friday
- ...ChenMed is looking for a Licensed Physician Reviewer – Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal...Remote work
- ...A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday – Friday work week. Responsibilities include reviewing medical records...Remote workFor contractorsMonday to FridayFlexible hours
$260k - $275k
...Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote work- ...MVP Health Care is seeking a Sub-Acute RN UM Reviewer-Medicare to join our Utilization Management team. In this remote role, you will conduct clinical reviews to ensure compliance with Medicare guidelines and support high-quality patient outcomes. The ideal candidate...Remote work
$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient... .... Work Location: This is a remote position, open to candidates who reside... ...review experience in a managed care plan (health care industry) ~ BC in Cardiology,...Remote workFull timeLocal areaWork from homeHome officeWeekend 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
- ...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
- ...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
- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware**** IntePros is seeking a Physician Reviewer to... ...certification, and prior experience working directly for a health insurance payer organization. Why This Role Is...Remote work
- ...Physician Reviewer – Utilization Management (Remote)-Full Time Overview We are seeking a Board-Certified Physician to support utilization management activities... ...utilization review experience within a managed care or health plan environment Preferred Qualifications Licensure in...Remote workFull timeLocal areaWeekend work
- ...applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our... ...independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical, contract...Remote workExtra incomeContract workFor contractorsFlexible hours
$65k - $75k
...Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States.... ...clinical experience, and 2+ years in utilization review or claims auditing. This full-time position offers health benefits starting on day one and a...Remote workFull time$105 - $115 per hour
...EPITEC is seeking a Physician Reviewer to evaluate clinical service requests and utilize medical expertise for decision-making. The role is non-patient-facing and... .... This position offers flexible hours, fully remote work (excluding CA, NY, HI, or AK), and competitive...Remote workHourly payFlexible hours- ...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
- ...A healthcare organization is seeking a Physician Clinical Reviewer for a remote opportunity. In this role, you will be a key member of the utilization management team, performing medical reviews of service requests and collaborating with physicians to ensure compliance...Remote work
- ...pharmacy benefits manager is seeking a Physician Clinical Reviewer specialized in Dermatology for a remote role. This position involves reviewing clinical... .... This is an opportunity to contribute to effective utilization management processes while working within a...Remote work
$174.07k - $374.92k
...divh2Full-Time Utilization Management Physician Reviewer/h2pWere building a world of health around every individual shaping a more connected, convenient and compassionate... ..../ppCompany: Oak Street Health/ppLocation: Remote/ Treehouse/ppRole Description:/ppThis full-time...Remote workHourly payFull time$65k - $88.6k
...Humana Inc. in Cheyenne, Wyoming is seeking a Utilization Management Behavioral Health Professional 2 to utilize behavioral health knowledge and support the coordination of medical services. This remote role demands clinical knowledge, decision-making capacity, and effective...Remote work$65k - $88.6k
...Humana Inc. in Augusta, Maine is seeking a Utilization Management Behavioral Health Professional 2 to coordinate medical services and support care for... ...least one year of clinical experience. The role offers remote work options and competitive pay ranging from $65,000 to...Remote work
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