Remote Behavioral Health Utilization Manager
WellSense Health Plan
- Remote job
WellSense Health Plan, a Massachusetts-based nonprofit health insurer, is seeking a Behavioral Health Utilization Manager. This role requires clinical judgment to assess outpatient behavioral health services and ensure timely, appropriate care while complying with standards. The role supports remote work, offers competitive pay, and excellent benefits. Candidates should bring licensure in MA/NH and 5–7 years in health insurance with behavioral health focus. #J-18808-Ljbffr WellSense Health Plan
$35 - $37 per hour
...currently hiring for the Maryland Behavioral Health Administrative Services... ..., this position is remote but you must be licensed in... ...The Behavioral Health Care Manager II (ABA Specialist) is responsible... ...managing behavioral health utilization management (UM) activities focused...Remote workHourly payFull timeContract workCurrently hiringLocal areaMonday to FridayFlexible hours- ...Internal Title: Clinical Lead Care Manager Department:... ...seeking an exceptional hybrid Behavioral Health (BH) Case Manager to join... ...Hybrid (in-person and remote) care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices,...Remote workLocal areaMonday to FridayShift workWeekend workAfternoon shift
$174.07k - $374.92k
...We’re building a world of health around every individual — shaping... ...Summary This is a remote-based (work from home) role... ...role as Medical Director (Behavioral Health), you will: Provide... ...day physician oversight for utilization management team, including the...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$217.6k - $294.4k
...-focused and economically sustainable health care system. Who We Are Looking For Every... ...and lives better. As a member of the Utilization Management (UM) team, our Associate Medical... ...leadership, and clinical oversight for behavioral health operations across all lines of...SuggestedPart timeImmediate startWork from homeFlexible hours- CVS Health is seeking a Medical Director (Behavioral Health) to provide psychiatric leadership, oversee utilization management, and drive high-quality care across a multidisciplinary team. This remote-based role prefers Ohio residing physicians. You will participate in...Remote jobWeekend work
- ...Description Job Description The Behavioral Health Clinical Supervisor will... ...out such other duties to manage and advance the goals of CCN... ...manage multiple priorities, utilize sound clinical judgment, and... ...working in a Hybrid or remote work environment. Resides...Remote workWork at officeLocal area
$71.5k - $97.5k
...our caring community The Field Care Manager, Behavioral Health performs primarily face to face and... ...management... Position Responsibilities: Utilize high-quality, evidence-based... ...Information Workstyle: This is a remote position that will require you to travel...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ..., and wraparound care coordination and behavioral health support in all 50 states through a virtual... .... The Role The Behavioral Health Care Manager is a direct support role addressing the... ...Benefits For Full‑time Employees Remote‑first design with work‑from‑home stipend...Remote workFull timeWork from home
- Molina Healthcare is seeking a TX-licensed Behavioral Health clinician to join our remote care management team. The role supports Medicaid members with behavioral health needs via telephonic coordination, with occasional in-person visits within Texas. Strong IT skills...Remote job
- North Texas Behavioral Health Authority seeks an experienced Manager of Utilization Management in Dallas to oversee clinical reviews, determine funding eligibility, and ensure regulatory compliance. The role requires LPHA licensure in Texas, 3+ years of direct mental health...
- Centene seeks an Utilization Review Clinician - Behavioral Health for a fully remote role serving New York. You will perform clinical reviews, assess care levels, and authorize mental health/substance abuse services. Requires a clinical license (RN or LMSW/LCSW/LMHC/LPC...Remote workDay shift
$80k - $87k
...providing exceptional mental health outcomes?Community... ...the Role: The Program Manager, Outpatient Services (... ...individuals with behavioral health needs. The Manager... ...consultation and care utilizing evidence-based... ...Program Planner (FULL TIME REMOTE) Denver, CO $160,000.0...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...highly skilled Clinical Lead Care Manager (CLCM) to join our team... ...manages client cases, coordinates health care benefits, provides... ...You'll DoHybrid (in-person and remote) care management duties as described... ...professionals (e.g. PCP, etc.)Utilize evidence-based practices, such...Remote workLocal areaMonday to FridayShift workAfternoon shift
- ...CVS Health Corporation is seeking a licensed Behavioral Health Clinician to serve as a Clinical Case Manager. This fully remote role spans the United States, with a Monday–Friday schedule and no weekends or holidays. You will conduct comprehensive assessments, develop...Remote workMonday to Friday
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote nationwide role. This position emphasizes clinical decision-making, care coordination, and evidence-based preauthorization review. Qualified candidates hold an independent behavioral...Remote job
- CVS Health seeks a Behavioral Health Utilization Management Clinician for remote support in the US, with Louisiana licensure preferred. The role requires a Master’s degree for independent clinicians or an RN with psychiatric specialty and active license. You will review...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests, coordinate decisions, and support crisis interventions while collaborating with providers and care teams to ensure...Remote jobFull timeShift work
- CVS Health Corporation seeks a Behavioral Health Utilization Management Clinician. This remote role prefers Louisiana residency and requires Sunday-Thursday, 8:00 AM-5:00 PM CST. You will review treatment plans, apply guidelines, coordinate with teams, and support crisis...Remote job
- Molina Healthcare is seeking a Texas-licensed Behavioral Health Professional (LPC, LMSW, or LCSW) to support Medicaid members with behavioral... ...telephonic, with potential in-person meetings. Prior case management in an MCO is preferred; applicants from anywhere in Texas...Remote jobLocal areaMonday to Friday
- CVS Health seeks a Behavioral Health Utilization Management Clinician to support members remotely, ensuring evidence-based care and medical necessity across care levels. You will coordinate with providers, manage triage and discharge planning, and promote cost-effective...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote role across the United States. The position focuses on clinical review, care coordination, and escalation of risk, with a 40-hour workweek and a 12.5% shift differential. You will...Remote jobShift work
- ...At Health New England, we're committed to ensuring our members receive... ..., and compassionate behavioral health services. As a Behavioral Health Utilization Management Reviewer, you'll play a vital... ...onboarding – this position is fully remote. Candidate must hold professional...Remote workHourly pay
$236.5k
...clinical professional on our Medical Management/Health Services team. Centene is a diversified... ...Provides medical leadership of all for utilization management, cost containment, and... ...and a flexible approach to work with remote, hybrid, field or office work schedules...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work$26.01 - $56.14 per hour
We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...person, one family and one community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday - Thursday Schedule...Remote workHourly payFull timeTemporary workLocal area$56.2k - $101k
...Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective... ...75% local travel and applicants are able to work remotely from their home the remaining time. The work...Remote workFull timeContract workPart timeLive inWork at officeLocal areaWork from homeRelocation packageMonday to FridayFlexible hours- ...Trainee will provide high-quality Applied Behavior Analysis (ABA) services to individuals... ...disabilities in multiple settings, including remote telehealth, homes, schools, and community... ...delivery Proficiency with electronic health record systems and telehealth platforms Currently...Remote jobFull timeTraineeshipWork at officeWork from homeFlexible hoursWeekend workAfternoon shift
$90.9k - $129.9k
...your expertise to adjudicate Behavioral Health prior authorizations based... ..., rather you will provide utilization review and quality assurance... ...outcomes into the Medicaid Management Information System (MMIS)... ...in this role ~100% Remote home office. ~ Full-time...Remote workFull timeWork experience placementHome officeFlexible hours- CVS Health is seeking a Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) for a 100% remote role serving Florida residents. Review treatment plans, apply guidelines, and monitor services to ensure appropriate, evidence-based care. You will collaborate...Remote jobFull time
$72.8k - $130k
...our team will directly improve health outcomes by connecting people... .... As an Associate Director, Behavioral Health Value Creation,... ..., implementation and ongoing management of programs that optimize quality... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote jobMinimum wageFull timeWork experience placementLocal areaImmediate start$78.4k - $107.8k
...Healthy Horizons is more than a health plan. We’re human care.... ...Director. The Manager, Care Management Behavioral Health leads teams of nurses... ...experienced leading a hybrid/remote team. Must be passionate... ...Certified Case Manager (CCM) ~ Utilization management experience...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayFlexible hours
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