Remote Behavioral Health Prior Authorization Consultant
AHCCCS
- Remote job
AHCCCS in Phoenix seeks an Behavioral Health Prior Authorization Utilization Review Consultant to monitor, evaluate, and decide on payment for medical and behavioral services under AHCCCS Fee for Service. The role requires licensing, clinical expertise, and strong analysis to ensure compliance with standards of care and regulations, with collaboration across providers and staff and education to support utilization management. #J-18808-Ljbffr AHCCCS
- The Behavioral Health Prior Authorization Utilization Review Consultant monitors, evaluates, and approves or denies payment for medical and behavioral healthcare services... .... This position is located in Phoenix with remote work options available and is part of the...Remote work
$71.03k
AHCCCS Arizona Health Care Cost Containment System Accountability, Community... ...work environments, including remote work opportunities. With career... ...dynamic and dedicated team. Behavioral Health Prior Authorization Utilization Review Consultant Division of Fee for Service...Remote workFull timePart timeInternshipWork from homeFlexible hours- MAP Health Management, LLC is seeking a Behavioral Health Peer Support Specialist to provide advocacy, education, mentoring, and motivation using lived experience... ...health conditions and recovery from SUD. This 100% remote role includes onboarding and ongoing telehealth...Remote job
- ...Department of Psychiatry and Behavioral Sciences at Stanford University... ...in primary care mental health integration to join our Integrated... ...) Program as a psychiatric consultant. Working within an IBH model,... ...recommendations. Comfort with remote work and strong organizational...Remote workFlexible hours
- ...experience in peer services,behavioral health, SUD treatment, predictive analytics... ...position is considered 100% remote, including our applicant... ...without cause and without prior notice. I understand that no... ...of MAP has the authority to make any assurance to the...Remote workWork experience placementWork at officeImmediate start
- ...healthcare affordable, improve the health of patients, and restore... ..., Guidehealthleverages remotely-embedded Healthguides™ and... ...health needs, navigate medical, behavioral health, substance use, and... ...of referral processes, prior authorizations, gaps in care, social drivers...Remote workContract workWork at officeFlexible hours
$20.05 - $23.03 per hour
Description Position: Behavior Support Specialist Pay Range: $20.05... ...and co-occurring behavioral health needs. As a Behavior Support... ...and will cooperate with the authorities to the fullest extent possible... ...Care Position Type Full-Time Remote No Location : City Homestead...Remote workHourly payFull timeWork at officeShift workWeekend work- ...seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and... ...mental health and substance use. This remote role supports clinicians across the continuum... ...evaluating treatment, conducting prior authorization and concurrent reviews, and educating...Remote work
- ...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
- ...who contact the practice are seeking behavioral health treatment for themselves or a family... ...check deposits using the designated remote deposit scanning system and coordinate... ...prices when needed. Following up on prior authorizations (PAs). Assisting with refill-...Remote workWork at officeShift work
- Overview Company Overview At Essen Health Care, we care for that! As the largest privately... ...to the efficient delivery of behavioral health services, supporting psychiatrists... ...coordination, clinical documentation, prior authorizations, and administrative tasks. The...Work at office
- ...Centene Management Company LLC is seeking a Behavioral Health Care Reviewer to perform clinical reviews of mental health and substance... ...care and adherence to guidelines. The role supports prior authorizations, concurrent BH inpatient reviews, and data-driven quality...Remote workFlexible hoursAfternoon shift
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist... ...will verify benefits, complete prior authorizations, and support... ...criteria while working remotely. Key responsibilities Verify...Remote workFull time
$20.3 - $27.41 per hour
...all and is a place where all can thrive. Job Location: Remote Work - New York, Albany, New York, United States of America,... ...by gathering all necessary information for referrals and prior authorizations. Applies provider preferences and protocols in selecting multiple...Remote workHourly payFull timeWork at officeLocal areaShift work- ...; educate physicians, nurses and other health care providers; and improve access to care... ...care. The position is hybrid between remote and Broadhead Rd. The Registered Nurse, Rx Refill and Prior Authorization Specialist- Behavioral Health Navigation Center is responsible...Remote workFull timeWork at officeWork from homeFlexible hours
$29.1 - $62.32 per hour
## Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home... ...You'll collaborate with providers, authorize care, and escalate cases when... ...Substance Abuse concurrent review or prior authorization experience* 3+ years...Remote jobHourly payFull timeTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursShift workWeekend work- CVS Health Corporation invites an experienced Utilization Management Nurse Consultant to join the Spine Team in a remote, full-time capacity. You will review spine-related prior authorizations, apply evidence-based criteria, and collaborate with providers and Medical Directors...Remote jobFull time
- ...reviews and assess care related to mental health and substance abuse. You will monitor... ...active Louisiana license, a nursing or behavioral health degree, and 2-4 years of related experience. You will participate in prior authorization reviews, inpatient BH reviews, and...Remote job
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental health and substance use care, performs prior authorization and concurrent reviews, and collaborates with providers and...Remote job
$27.02 - $48.55 per hour
...Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted... ...assesses care related to mental health and substance abuse.... ...independent clinical licensure, (2) prior behavioral health and (3)... ...* Performs prior authorization reviews related to mental...Remote workHourly payFull timeMonday to Friday$112.7k - $193.2k
...UnitedHealthcare, we're simplifying the health care experience, creating healthier... ...you will have the flexibility to work remotely* as you take on some tough challenges.... ...Serves as the SME SPOC for formulary, prior authorization and benefit coding requirements and execution...Remote jobMinimum wageFull timeContract workWork experience placementWork at officeLocal area$26.01 - $56.14 per hour
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...one community at a time. Utilization Management Nurse Consultant (RN) - Remote | Prior Authorization | Utilization Management Are you an experienced RN...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests, coordinate decisions... ..., and experience with utilization management or prior authorization. #J-18808-Ljbffr CVS HealthRemote jobShift work
- Centene Corporation offers a fully remote clinical reviewer position focused on mental health and substance use care within... ...evaluating care, conducting prior authorizations, and coordinating with... ...’s degree and master’s level behavioral health training, with licenses...Remote job
- Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental... ...management. The role emphasizes clinical reviews, prior authorizations, and data-driven care improvement. Requirements...Remote job
$26.01 - $56.14 per hour
...Role The Concurrent Review UM Nurse Consultant role at CVS Health is ideal for experienced RNs with a... ...in utilization management or prior authorization. This position focuses on ensuring... ...Pay: $26.01 - $56.14/hour Location: Remote, LA Residency: Louisiana residency...Remote workFull time$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM... ...(UR) Specialist to manage insurance authorizations for adolescent and adult mental health... ...and coverage requirements. Complete prior authorizations, pre-certifications, concurrent...Remote workFull timeMonday to Friday$40 - $50 per hour
...than a thousand multinational employers, health plans, and health systems trust Carrot... ...of part-time to full-time, fully remote Registered Nurses who deliver evidence-... ...referrals. Manage pharmacy callbacks and prior authorizations in coordination with the care team....Remote workFull timeTemporary workPart timeFor contractorsWorldwideMonday to FridayFlexible hoursShift work- Centene Corporation is seeking a remote Behavioral Health/Utilization Review professional to support the California Market. The role requires... ...knowledge of regulatory guidelines is preferred and prior authorization experience is valued. #J-18808-Ljbffr Centene CorporationRemote jobFull time
$91.7k - $163.7k
...Insight is improving the flow of health data and information to... ...Connecting. Growing together.The Sr. Consultant, Advisory Services is... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...team workflow; model AI-first behaviors for the broader practiceExperience...Remote workMinimum wageFull timeWork experience placementLocal area
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