Remote Behavioral Health UM Clinician - Precertification
CVS Health
- Remote job
CVS Health Corporation is seeking a Utilization Management Clinician Behavioral Health - Precertification for 100% remote work. You will review authorization requests for inpatient mental health, detox, and substance use programs, ensuring medical necessity and appropriate levels of care. This full-time role requires an active master's-level behavioral health license or RN with psychiatric experience, 1+ year UM experience, 3+ years inpatient BH in a hospital setting, and the ability to work #J-18808-Ljbffr CVS Health
- CVS Health is hiring a Behavioral Health Precertification/UM Clinician for a 100% remote role, working Monday-Friday 12:00 PM to 8:30 PM EST. You will review behavioral health authorizations, ensure appropriate levels of care, and support timely, evidence-based treatment...Remote jobMonday to Friday
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests and determine medical necessity for behavioral health services. This 100% remote role offers a consistent weekday schedule and focuses on inpatient mental health, detox...Remote jobWeekday work
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to join our remote team. This full-time role focuses on reviewing authorization requests, applying evidence-based guidelines, and ensuring timely, appropriate care for behavioral health patients. Candidates...Remote jobFull time
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote role with a Monday-Friday schedule from 12:00 PM to 8:30 PM EST. You will review behavioral health authorization requests, assess medical necessity, and determine appropriate levels...Remote jobMonday to Friday
- CVS Health is seeking a Behavioral Health Precertification/Utilization Management Clinician for a fully remote, weekday schedule. You will review authorization requests for inpatient mental... ...psychiatric experience, with 1+ year UM/UR and 3+ years inpatient behavioral health...Remote jobWeekday work
$54.1k - $116.76k
...We’re building a world of health around every individual — shaping... ...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM –... ...Behavioral Health Precertification/UM Clinician, you will review...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work- Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and communication... .... The role requires diverse, independent decision-making and remote work from a home office. The candidate must hold multiple...Remote jobWork from homeHome office
- Cambia Health Solutions is seeking a licensed Behavioral Health clinician to manage utilization reviews across prospective, concurrent, and retrospective assessments. The role emphasizes applying evidence-based criteria and collaborating with physician advisors to ensure...Remote job
- Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits. You will interpret criteria, communicate with providers and members, and require independent...Remote job
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a fully remote role with a Monday-Friday 12:00 PM-8:30 PM EST schedule. The position reviews behavioral health authorization requests, applies guidelines, and ensures timely, evidence-based care...Remote jobMonday to Friday
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote role. You will review authorization requests, apply guidelines, and coordinate with facilities to ensure appropriate levels of care for behavioral health services. The role requires...Remote jobFlexible hoursWeekday work
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests, determine medical necessity, and ensure appropriate levels... ...care for behavioral health services. This fully remote role offers a weekday schedule (12:00 PM-8:30 PM...Remote jobWeekday work
$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly...Remote workPermanent employmentFull timeWork at officeLocal area$65k - $88.6k
Become a part of our caring communityThe Licensed Behavioral Health Utilization Management Professional uses... ...technical skills to troubleshoot and resolve within a remote environment Preferred Qualifications Behavioral Health UM experience, performing medical necessity...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...Behavioral Health Clinician This position involves managing and evaluating behavioral health conditions remotely within the tri-state area. It requires reviewing medical records, interacting... ...required. Medical management/precertification experience preferred. Exceptional...Remote work
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services... ...appropriate level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
- ...Centene Corporation is seeking a fully remote Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels...Remote work
- CVS Health is seeking a remote Behavioral Health Clinician to provide high-quality mental health care from a home-based setting. This independent, licensed professional will assess, plan, and coordinate care for members with complex behavioral health and substance use...Remote jobWork from home
- ...To support a growing behavioral health team, the full-time Licensed Behavioral Health Clinician will perform utilization management reviews, ensuring adherence to medical... ...necessity and policy standards while working remotely within Oregon, Washington, Idaho, or Utah. Key...Remote workFull time
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing authorization requests and inpatient cases across various settings. The role emphasizes collaboration with providers,...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a nationwide...Remote workFull timeDay shift
- Centene is seeking a Supervisor, Behavioral Health Utilization Management to lead the UM BH utilization review team and... ...‑quality care for members. This remote role reports to senior leadership... ...competitive salary. You will supervise BH clinicians, monitor resources, implement...Remote jobFull time
- Comagine Health seeks a Clinical Reviewer to assess medical necessity and clinical appropriateness for behavioral health services. The role reviews documentation, conducts utilization... ...required across the Portland area, with a remote, home-based setup in Oregon. Candidate...Remote workWork from home
- ...Centene Corporation seeks a remote Behavioral Health reviewer to support the Texas Ambetter Inpatient Behavioral Health population. The role requires 4 x 10-hour shifts weekly with Saturday availability; weekend differential is offered. You will evaluate care, perform...Remote workShift workWeekend work
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote work
- SpringHealth Behavioral Health and Integrated Care is seeking a clinician to conduct assessments, coordinate home, work and community visits, and ensure effective implementation of Behavior Intervention Plans. The role involves collaboration with supervisors, care staff...Remote jobWork from home
$70k
SAGE Counseling is seeking a Full-Time Lead Assessment Clinician to conduct assessments, diagnoses, and intakes for new clients. The... ...will review and approve completed assessments. Must hold a Behavioral Health License (LPC, LAC, LMSW, LCSW) and reside in Arizona, with...Remote jobFull timeWork from homeMonday to Friday$27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related...Remote workHourly payFull timeMonday to Friday$66.71k - $77.56k
...Behavioral Health Crisis Line Clinician Bilingual Join to apply for the Behavioral Health Crisis Line Clinician Bilingual role at Trillium Health... ...Posting Salary Range: $62,712 - $77,564 Office Location: Remote in North Carolina POSTING DETAILS: Make an Impact...Remote workFull timePart timeWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- LifeStance Health is seeking a licensed behavioral health therapist to join a fast-growing multidisciplinary team. You will deliver CBT, PST, and MI to... ..., nurses, psychiatrists, and other professionals. This remote position involves occasional on-site meetings in...Remote job
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