Remote Utilization Review Clinician (Mental Health)
Santa Barbara Cottage Hospital
- Remote job
Monte Nido is seeking a Utilization Review Clinician to join our team with on-site options in Miami or remote work available. The role centers on conducting utilization reviews, peer reviews, and pre-certifications while coordinating with the on-site clinical team, admissions, verifications, and billing regarding clients’ insurance status. In this role you will lead authorizations, participate in clinical rounds, and communicate payor requirements to support appropriate levels of care. #J-18808-Ljbffr Santa Barbara Cottage Hospital
$27.02 - $48.55 per hour
...Medical Management/Health Services team. Centene... ...a clinical review and assesses care related to mental health and substance... ...quality and appropriate utilization of services... ...behavioral health clinicians required. Clinical... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours$80.47k - $94.55k
...UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 974... ...Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...review and assesses care related to mental health and substance abuse. Monitors...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hours- ...organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates...Remote workFlexible hours
$2,210 per week
...in personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...States where employed. For mental health/substance abuse,...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...weekends, or holidays. The position emphasizes clinical reviews to determine if treatments meet criteria, with... ...license and 3–5 years of acute care experience, plus mental health or substance abuse expertise. A remote setting is available within a national scope. #J-1...Remote workMonday to FridayWeekend workDay shift
$51 per hour
...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed in one of the 3 states: MD,... ...benefit plans, mandates, and medical/behavioral health policies to support determinations related to ABA...Remote workContract workWork at officeWork from home$54.1k - $142.58k
...We’re building a world of health around every individual —... ...time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift... ...included What You'll Do Review preauthorization requests... ...experience working with mental health and substance use...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model... ...plans, mandates, and medical/behavioral health policies to support determinations related to...Remote workContract workTemporary workWork at officeLocal areaWork from home- ...UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While... ...right time. This is a fully remote position with a Monday-Friday... ...populations and/or community mental health Experience with...Remote workMonday to Friday
- ...Description Job Description Utilization Management Nurse... ..., IA. Also accepting remote applicants. We are looking... ...tests, care, etc. Review requests and match up... ...referral criteria and health plan guidelines. Qualified... ...preferably in ER, ICU, mental health, orthopedics,...Remote workFull timeWork at office
$50k
...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...) Bachelor’s degree in a health or behavioral health-related field required... ...Licensed Clinical Social Worker, Licensed Mental Health Counselor) How to Stand Out (Preferred...Remote work- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible...Remote jobWork from homeMonday to Friday
- 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 jobFull time
- ...Johns Hopkins Medicine is seeking a Utilization Review Registered Nurse based in Hanover, MD. This full-time role allows you to leverage your... ...perks like tuition assistance, work-life balance, and comprehensive insurance benefits while working remotely. #J-18808-LjbffrRemote workFull time
- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels... ...Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable). InterQual...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract workTemporary work
- ...Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications...Remote workWork at office
- ...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
- ...Netsmart is seeking a Remote Utilization Review Nurse to evaluate ED admissions using InterQual/MCG criteria and apply evidence-based guidelines to ensure proper resource utilization. You will discuss documentation and admission status with ED physicians and enter reviews...Remote work
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges... ...vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Utilization Review Specialist | Remote | Full-TimeBanyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist... ...treatment for individuals facing substance use and mental health disorders. Backed by TPG, one of the nation's largest...Remote workTemporary work
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
- ...Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance... ...month on-site.The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration of medical...Remote work
$23.76 - $51.49 per hour
...Behavioral Health Experience Required. Seeking a Registered... ...compact license. The Care Review Clinician will provide prior authorization... ...care experience (Inpatient Mental Health/Psych, Substance Use... ...or previous experience with Utilization Reviews. SCHEDULE:...Hourly payWork experience placementWork at officeMonday to Friday- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
$65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30... ...? No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work- ...Curative is building the future of health insurance with a first-of-... ...overseeing and performing utilization reviews, prior authorizations, and... ...peer discussions. This is a remote position requiring a "roll... ...and primary care built in. Mental health support (Rula, Televero...Remote workFull timeFlexible hours
- ...New Horizons is the largest mental health and addiction recovery provider on the Treasure Coast (and beyond), serving 15,000 children... ...in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient...Remote workLocal area
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location:... ...Peterson AFB, Colorado Military Health System Compensation: $1,600 –... ..., no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management...Remote workContract workImmediate startMonday to Friday
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