Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Review Clinician (Mental Health)

Santa Barbara Cottage Hospital

New York, NY
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Clinician (Mental Health) in New York, NY vacancy
  • $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 work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    United States
    3 days ago
  • $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 work
    Full time
    Work at office
    Local area
    Immediate start
    Monday to Friday
    Flexible hours

    Umpqua Health

    Roseburg, OR
    13 days ago
  •  ...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 work
    Flexible hours

    Centene Corporation

    California, MO
    1 day ago
  • $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 work
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Work from home
    All shifts
    Monday to Friday
    Flexible hours

    Hines

    Freeport, IL
    3 days ago
  •  ...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 work
    Monday to Friday
    Weekend work
    Day shift

    Santa Barbara Cottage Hospital

    United States
    2 days ago
  • $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 work
    Contract work
    Work at office
    Work from home

    System One Holdings, LLC

    Baltimore, MD
    1 day ago
  • $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 work
    Hourly pay
    Full time
    Temporary work
    Local area
    Shift work
    Night shift
    Weekend work

    CVS Health

    Florida, FL
    4 days ago
  • $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 work
    Contract work
    Temporary work
    Work at office
    Local area
    Work from home

    System One

    Baltimore, MD
    8 days ago
  •  ...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 work
    Monday to Friday

    Optum

    Tucson, AZ
    4 days ago
  •  ...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 work
    Full time
    Work at office

    Cottingham & Butler

    Davenport, IA
    24 days ago
  • $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

    Advanced Recovery Systems LLC

    New York, NY
    4 days ago
  • 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 job
    Work from home
    Monday to Friday

    Spectrum Healthcare Resources

    Los Angeles, CA
    1 day ago
  • 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 job
    Full time

    Umpqua Health

    Roseburg, OR
    12 hours ago
  •  ...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-Ljbffr
    Remote work
    Full time

    Johns Hopkins Medicine

    Hanover, MD
    2 days ago
  •  ...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

    Bestica Healthcare

    United States
    5 days ago
  •  ...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

    3B Healthcare, Inc.

    United States
    3 days ago
  • 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 work
    Contract work
    Temporary work

    IntePros

    Phoenix, AZ
    2 days ago
  •  ...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 work
    Work at office

    Brighton Health Plan Solutions

    United States
    2 days ago
  •  ...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

    ChenMed

    Miami, FL
    2 days ago
  •  ...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

    Netsmart

    United States
    2 days ago
  • $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 work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    United States
    5 days ago
  •  ...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 work
    Temporary work

    Banyan Treatment Centers

    Pompano Beach, FL
    5 days ago
  •  ...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 work
    Shift work
    Weekend work

    AMN Healthcare

    United States
    4 days ago
  •  ...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

    Vivo HealthStaff

    New York, NY
    10 days ago
  • $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 pay
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    United States
    2 days ago
  •  ...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 work
    Work at office

    HealthHelp

    Houston, TX
    3 days ago
  • $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 work
    Hourly pay
    Local area
    Immediate start
    Monday to Friday
    Shift work
    Weekend work

    Pacer Group

    United States
    3 days ago
  •  ...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 work
    Full time
    Flexible hours

    Jobleads-US

    Austin, TX
    4 days ago
  •  ...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 work
    Local area

    New Horizons

    United States
    2 days ago
  • $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 work
    Contract work
    Immediate start
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Review Clinician (Mental Health). Be the first to apply!