Remote Utilization Review Specialist - Behavioral Health (PHP/IOP)
Principles Recovery Center
Tallahassee, FL
- Remote job
Principles Recovery Center is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, PHP, and IOP programs. The role requires 2+ years of UR experience and fluency with ASAM, LOCUS, and CALOCUS criteria. You will verify benefits, prepare prior authorizations, and coordinate with clinical teams to ensure continuity of care. Proficiency with EMR/EHR and payer communication is essential. #J-18808-Ljbffr Principles Recovery Center
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Specialist - Behavioral Health (PHP/IOP) in Tallahassee, FL vacancy
- ...authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits,... ...necessity criteria while working remotely. Key responsibilities... ...2+ years of PHP/IOP utilization review or insurance...Remote workPHPFull time
Virtual Vocations Inc
United States1 day ago $24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote workPHPFull timeMonday to FridayPrinciples Recovery Center
United States3 days ago- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
Recovery Unplugged
United States4 days ago - ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant... ...optimization, compliance, and high-quality patient care across behavioral health services. #J-18808-LjbffrRemote work
The Florida House
United States1 day ago - Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. You will collaborate with...Remote jobMonday to Friday
- ...El Dorado Springs Behavioral Health is part of Lifepoint Health... ...care to others. As a Utilization Review Specialistjoining our... ...A Utilization Review Specialist who excels in this role... ...Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs are...PHPFull timeTemporary workPart timeReliefFlexible hours
LifePoint Health
Tucson, AZ19 hours ago - ...Recovery Center is Now Hiring: Utilization Review SpecialistsAvenues... ...including detox, residential, PHP, IOP, and outpatient services.... ...seeking a Utilization Review Specialist to join our corporate team... ...1 year of experience in behavioral health, healthcare, or treatment...PHPWork at officeImmediate startFlexible hours
Avenues Recovery
Toms River, NJ2 days ago - ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and appeals...Remote work
Northpoint-Recovery-Holdings,-LL
United States2 days ago - ...Minnesota Adult & Teen Challenge in Minneapolis is seeking a Utilization Review Coordinator to obtain and maintain insurance authorizations for... ...and DHS requirements. Training is provided; initial in-person in Minneapolis with remote work thereafter. #J-18808-Ljbffr...Remote work
MnAdultTeenChallenge
Minneapolis, MN19 hours ago - ...Bradford Health Services seeks an experienced Utilization Review Specialist to join our Birmingham-based team. You will evaluate patient records, treatment plans, and clinical data to determine medical necessity and appropriate level of care while ensuring regulatory...Remote work
Addiction And Mental Health Services
United States19 hours ago - Minnesota Adult & Teen Challenge is seeking an Utilization Review Coordinator to manage insurance authorizations for treatment services. This role collaborates with admissions, counselors, and payers to ensure timely authorizations and compliance with payer and regulatory...Remote job
- ...corporate office in West Palm Beach. Ambrosia Behavioral Health is seeking an experienced Utilization Review (UR) Specialist to join our Revenue Cycle team in South Florida... ...Experience withDetox, Residential and PHP Experience with bothadult and adolescent behavioral...PHPWork at officeImmediate start
$80k - $120k
Virtual IOP Therapist - California... ...misunderstood mental health conditions.NOCD... ...repetitive behaviors) even if formal... ...per week for utilization purposes, while... ...census and is reviewed monthly to ensure... ...to work remotely from with reliable... ...care models (IOP, PHP, RES, IP) preferred...Remote workPHPFull timeLocal areaFlexible hoursShift workNight shiftWeekend workAfternoon shift- ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...We are seeking an experienced specialist who is passionate about making... ...preferred. 2-3 years of utilization review experience in behavioral health...Remote workDaily paidFull time
The Florida House
United States1 day ago - CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests, coordinate decisions, and manage crisis calls with clinical judgment to ensure timely, appropriate behavioral health...Remote jobFull timeShift work
- ...seeking a licensed clinician to review ABA services and health status across the care... ...and alignment with behavioral health guidelines. The role... ...data analysis to improve utilization, and collaboration with BH... ...is required, with flexible remote/hybrid options. #J-18808-...Remote workFlexible hours
- ...New Vista Behavioral Health is seeking a detail-oriented Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple behavioral health facilities. Candidates must hold an active clinical license as an RN...
New Vista Behavioral Health
Cincinnati, OH3 days ago - ...Fuller Hospital in South Attleboro, MA, seeks a full-time Utilization Review Coordinator to monitor effective use of health care resources across inpatient and outpatient behavioral health services. The role interfaces with outside agencies, payers, and managed care companies...Full time
Henderson Hospital
Attleboro, MA2 days ago - 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 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
- ...Job Description Utilization Review Specialist - Full Time Days - Onsite Your experience matters... ...Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery network... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...Full timeTemporary workPart timeRelief
LifePoint Health
Fort Worth, TX4 days ago - ...Pavilion Behavioral Health System in Champaign, Illinois, is seeking a Full-time Utilization Review Coordinator to ensure accurate chart reviews and to obtain hospital stay certifications from insurers. The role supports behavioral health and addiction treatment across...Full time
Laurel Ridge Treatment Center
Champaign, IL2 days ago - ...Utilization Review SpecialistMesa Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities... ...others. As a Utilization Review Specialist joining our team, you're... ...Mesa SpringsMesa Springs is a behavioral health hospital offering exceptional...Temporary workPart timeRelief
LifePoint Health
Fort Worth, TX3 days ago - ...What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative... ...guidelines specific to behavioral health What tasks are required?... ..., partial hospitalization (PHP), and intensive outpatient (IOP) levels of care. Obtain prior...PHPWork at officeLocal area
BriteLife Recovery
Englewood Cliffs, NJ4 days ago - ...Brynn Marr Hospital in Jacksonville, NC seeks a Utilization Reviewer to assess patient records, determine appropriate levels of care,... ...psychology, sociology, social work, or related fields. Monday–Friday day shift, fast-paced behavioral health environment. #J-18808-Ljbffr...Monday to FridayDay shift
Laurel Ridge Treatment Center
Jacksonville, NC2 days ago $70k - $86k
Virtual IOP Therapist (NC- Independently... ...) Guidelight Health is a cutting-edge behavioral healthcare... ...through high-quality PHP (Partial Hospitalization... ...care, utilizing state-of-the-art... ...Department/Location: Remote in North... ...meetings and case reviews. Educate clients...Remote workPHPFull time- Skyway Behavioral Healthis an innovative center that goes beyond the treatment of mood... ...for all patients. Role Description Utilization Review Specialist (URS) reports to the Utilization Review... ...services and documented mental health needs. Demonstrates a high level of accuracy...Temporary workLocal area
- Ambrosia Behavioral Health in West Palm Beach, FL is seeking a seasoned Utilization Review Specialist to join our Revenue Cycle team. You will manage initial and concurrent authorizations and coordinate with payers to ensure medical necessity and appropriate levels of...
$95k - $105k
...Description Assistant Clinical Director – Behavioral Health (PHP/IOP) Location: San Diego, CA Job... ...Conduct individual therapy sessions utilizing trauma-informed and evidence-based... ...day-to-day program operations. Review clinical documentation and provide constructive...PHPFull timeMonday to FridaySolution Based Therapeutics
San Diego, CA3 days ago- ...experience matters El Dorado Springs Behavioral Health is part of Lifepoint Health,... .... How you’ll contribute A Utilization Review Specialist who excels in this role:... ...Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs support...PHPFull timeTemporary workPart timeReliefFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist - Behavioral Health (PHP/IOP). Be the first to apply!
Related searches
- sewing specialist Tallahassee, FL
- graduation specialist Tallahassee, FL
- technology integration specialist Tallahassee, FL
- drilling fluids specialist Tallahassee, FL
- vulnerability management specialist Tallahassee, FL
- evaluation specialist Tallahassee, FL
- escalation specialist Tallahassee, FL
- educational technology specialist Tallahassee, FL
- policy specialist Tallahassee, FL
- strategic sourcing specialist Tallahassee, FL