Remote Behavioral Health Utilization Specialist
$65k - $88.6kHumana
Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document, and communicate medical services and benefit determinations. The role requires clinical knowledge, independent decision-making, and collaboration with providers and members to ensure optimal care. The remote position includes standard hours, occasional travel for meetings, and eligibility for a bonus plan; base pay ranges from $65,000 to $88,600 annually, with benefits #J-18808-Ljbffr
$90.9k - $129.9k
...SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...this role, rather you will provide utilization review and quality assurance.Your role... ...proceduresWhat you should expect in this role100% Remote home office.Full-time position....Remote workFull timeHome officeFlexible hours- ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred location. You will review services, coordinate decisions, provide crisis triage, and support transitions of care while ensuring evidence-based treatments...Remote work
- ...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 workMonday to Friday
- ...Optum is seeking a remote Behavioral Health Utilization Review Specialist to support case management and care coordination. This full-time, Monday–Friday role offers standard business hours with occasional on-call needs based on business requirement. The position requires...Remote workFull timeMonday to Friday
- Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and communication... ..., and adherence to policy guidelines. This is a remote nationwide position with standard working hours and...Remote job
- FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications... ..., and high-quality patient care across behavioral health services. #J-18808-Ljbffr The Florida...Remote job
- Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document and communicate medical services and benefit determinations. The role requires clinical judgment, strong communication, and independence, with travel...Remote jobFull timeWork at office
$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 jobFull timeMonday to Friday- ...in monitoring the Mental Health Plan and Drug-Medi-Cal Organized... ...records to ensure proper utilization of treatment resources... ...for clients receiving behavioral health treatment. UR Specialists also interpret, advise... .... The option for hybrid remote work may be available based...Remote workContract workLocal areaTrial periodFlexible hours
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
- ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess treatment plans and... ...intensity settings. The role is full-time and remote with occasional local travel within the Kent...Remote workFull timeLocal area
- ...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 a... ...preferred. ~2-3 years of utilization review experience in behavioral...Remote workDaily paidFull time
- ...Behavioral Health SpecialistAs a Behavioral Health Specialist, you will be part of an integrated care team dedicated to providing... ...with opportunities for both remote and on-site work.At Greater Seacoast... ...and/or substance use disorders.Utilizes evidence-based treatment models...Remote workWork at officeFlexible hours
- ...BHH Specialist: Behavioral Health Home - 6317 Job Category : Direct Care Requisition Number : BHHSP006... ...their clients. Flexible Work Style : Remote day potential and collaborative, learning-oriented atmosphere. Utilize a company vehicle to visit clients in the...Remote workFull timePart timeLocal areaMonday to FridayFlexible hours
$70k - $100k
...Position Overview Adorn Life Behavioral Health Center is seeking a dedicated and compassionate... ...culturally sensitive mental health services remotely, allowing you the flexibility to... ...accordance with legal and ethical standards, utilizing electronic health record (EHR) systems...Remote workFull timeRelocation package$70k - $110k
...to join our team in a fully remote role. This position will allow... ...to provide essential mental health services to a diverse range of... ...As one of the fastest-growing behavioral health practices in the... ...individuals, groups, and families, utilizing modalities such as Cognitive...Remote workRelocation packageFlexible hours- ...SummitRidge Hospital in Lawrenceville, GA, part of Universal Health Services (UHS), is seeking a PRN Utilization Review Coordinator to support behavioral health services on an as-needed basis. You will coordinate utilization review activities, secure timely insurance...Relief
- ...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
- ...Coastal Pines Behavioral Health, a new 144-bed behavioral health hospital near Jacksonville, seeks a full-time Utilization Specialist to monitor utilization of services and optimize reimbursement for the facility. The role involves liaising with managed care organizations...Full time
- ...CVS Health is seeking an Utilization Management Clinical Consultant for a Work at Home CST role. You will apply clinical experience to assess treatment... .... This full-time position requires an independent Behavioral Health license (LA or Compact), 3+ years in behavioral...Remote workFull timeWork from homeFlexible hours
$100k - $105k
...seeking a dedicated and compassionate Remote Licensed Professional Counselor (LPC) to... ...you to support individuals navigating behavioral health conditions, providing essential services... ...with clients from various backgrounds, utilizing evidence-based practices to support their...Remote workFull timeHome officeFlexible hours$46.76 - $51.76 per hour
...Behavioral Health Analyst Pay Range: $46.76hr - $51.76hr Requirement/Must Have: Masters Degree or higher in Behavior Analysis, Psychology... ...stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA...Remote jobWork at office- ...Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform prospective, concurrent, and retrospective reviews from a home-based setting across Oregon, Washington, Idaho, or Utah. The role emphasizes clinical expertise in behavioral health...Remote workWork from home
$48.78 - $73.17 per hour
...glad you are interested in joining Sutter Health! Organization ABSMC-Alta Bates Herrick... ...admission, need for continued stay, and proper utilization of physician, nursing, and ancillary... ...REQUIRED EDUCATION Department, Behavioral Health: Master's in Social Work or related...Full timeWork at officeLocal areaMonday to FridayShift workWeekend work$19.5 - $26.48 per hour
Job Description: The Behavioral Health Specialist (BHS), under the direction and supervision of the treatment... ..., etc. Expected to lift and utilize full range of movement to transfer patients... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork experience placementImmediate start$100k - $105k
...Position Overview Right Health Medical Clinic is seeking a dedicated... ...team. This is a full-time, remote position offering an annual... ...comprehensive outpatient behavioral health care to diverse populations... ...in access to care. We utilize a combination of digital tools...Remote workFull time$120k - $130k
...Position Overview Synchronous Health is actively seeking a... ...telehealth team. This full-time remote position allows you to leverage... ...skills to provide essential behavioral health services from the comfort... ...of care delivered. You will utilize secure video conferencing...Remote workFull timeWork at officeFlexible hours$22 - $27.14 per hour
Patient Experience Specialist (PES) II-Behavioral Health - Full TimeOur service area includes Delta, Montrose,... ...of our clinics in our service area* Remote work is not available at this time.Position... ...eligibility requirements commonly utilized in nonprofit healthcare settings.Two...Remote workHourly payFull timeContract workSummer workImmediate start$80k - $100k
...Description Position Overview Behavioral Lifebulb Counseling Center is... ...New Jersey. This full-time, remote position focuses on providing... ...to enhancing the mental health and wellness of our clients,... ...tailored to individual goals. Utilize advanced therapeutic...Remote workFull timeLocal areaImmediate startMonday to Friday$80k - $100k
...Description Position Overview Medstar Behavioral Health Center is actively seeking a dedicated... ...) to join our team in a full-time, remote clinical setting focused on providing quality... ...of the remote setting enables you to utilize digital communication tools to conduct...Remote workFull timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Behavioral Health Utilization Specialist. Be the first to apply!
- graduation specialist New York, NY
- cybersecurity specialist New York, NY
- deduction specialist New York, NY
- entry level safety specialist New York, NY
- disclosure specialist New York, NY
- junior specialist New York, NY
- gaming specialist New York, NY
- community relations specialist New York, NY
- creative specialist New York, NY
- transition specialist New York, NY



