Behavioral Health Utilization Clinician - Care Optimization
MetroPlus
MetroPlus in New York seeks a Behavioral Health Utilization Management Clinician responsible for managing medical costs through utilization review activities. The role requires a Master’s Degree and at least 3 years of Behavioral Health experience. This position involves telephonic reviews, collaborating with health providers, and ensuring continuity of care. Candidates must hold an LCSW, LMSW, or LMHC license, with strong organizational skills and a commitment to quality. #J-18808-Ljbffr MetroPlus
- Community Health Choice is seeking a Behavioral Health Utilization Manager, RN, who can perform patient reviews and apply clinical criteria for care justification. This role requires a Bachelor's degree in nursing and a current Texas Registered Nurse license. Ideal candidates...SuggestedRemote job
$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...review and assesses care related to mental health... ...concurrent review of behavioral health inpatient to determine... ...and appropriate utilization of services. Provides... ...for behavioral health clinicians required. Clinical knowledge...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$186k - $310k
...Welcome to the world of Behavioral Neurology at White... ...condition requiring expert care. Our Behavioral... ...prioritize treatments that optimize cognitive function and... ...long-term brain health. Whether providing advanced... ...advanced diagnostic care, utilizing cutting-edge...SuggestedHourly payLocal area- ...helping each person achieve optimal health and well-being by providing... ...everything we do - always.Genesis Behavioral Health offers:Crisis... ...and/or supervises the nursing care of patients in an efficient... ...billing charges/sheets daily2. Utilizes historic and current data in...SuggestedFull timeReliefRelocation packageShift work
- ...To support comprehensive behavioral health services across multiple Youth... ...Licensed Behavioral Health Clinician (Floater) to provide high-quality... ...in ensuring continuity of care, supporting program needs,... ...program needs. Must be able to utilize public transportation....SuggestedPermanent employmentTemporary workWork at officeLocal areaAfternoon shift
$66.3k - $79.8k
...array of necessary physical and behavioral health services and other community... ...healthcare and dependent care Generous tuition... ...Professionals What You Will Do Utilizes approved assessments to identify... ...with physicians and evaluating clinicians for additional medical or mental...Temporary workWork experience placementFlexible hours- A healthcare organization is seeking a Behavioral Health Utilization Management (BH UM) Clinician in New York City. This role emphasizes the management of healthcare costs while ensuring high-quality care through various reviews. Candidates should have a Master’s Degree...
- ...array of necessary physical and behavioral health services and other community... ...under general supervision. Utilizes approved assessments to... ...and ongoing clinical plan of care. Updates plan at specified intervals... ...physicians and evaluating clinicians for additional medical or...Daily paidTemporary workWork experience placement
- ...delivery. We believe that care after a cancer diagnosis shouldn... ...of physical and mental health side effects from treatment... ...health care. As a Survivorship Behavioral Health Clinician , you will play a central... ...and their families, utilizing evidence-based OncoveryCare...Full timeMonday to Friday
$241k - $290.06k
...A municipal health care organization in New York is looking for a Physician Advisor to join its Utilization Management team. This role involves direct patient care and duties related to regulatory compliance, hospital coding, and denial management. Candidates should have...- ProMedica Health Systems, Inc. is seeking a part-time Ohio Licensed Utilization Review Nurse to conduct admissions and transfers reviews while working remotely. Responsibilities... ...nursing school, have a minimum of 3 years acute care experience, and possess an active RN license....Remote jobPart time
$10k
## Utilization Review RN - PT - Day - Utilization Resource... ...id: JR109737Capital Health is the region's leader... ...progressive, quality patient care with significant... ...which help to optimize lengths of stay, utilize... ...MCG guidelines. Mental, Behavioral and Emotional Abilities...Full timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shift- ...documenting decisions. Candidates must hold an active RN license in Kentucky and have at least two years of clinical behavioral health experience. The role is remote, focusing on healthcare quality assurance and compliance within the managed care industry. #J-18808-Ljbffr HumanaRemote jobInternship
- A community hospital in Arizona is seeking a Utilization Management Nurse to ensure healthcare efficiency and quality through diligent review... ...review principles. Join us in providing comprehensive patient care in a supportive environment. #J-18808-Ljbffr Santa Barbara...
- ...Registered Nurse (RN) - Behavioral Health We’re seeking a compassionate RN to join our team in... ...education, and delivering high-quality care, this is the opportunity for you! What... ...provide accurate medical information. Utilize technology systems to document care and...Monday to FridayFlexible hoursAfternoon shift
$26.41 - $61.79 per hour
...members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide... ...teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications...Hourly payWork experience placementWork at office- ...is seeking a full-time Nurse to provide health information and resources for complex clinical... ...medical staff, and ensuring appropriate utilization management of services. The ideal... ..., and at least 2 years of relevant acute care experience. We offer a competitive benefits...Full time
- ...Bilingual Behavioral Health Clinician, Mother Cabrini Counseling Program The Bilingual Behavioral Health Clinician will provide short-term, trauma... ...who is passionate about holistic, collaborative clinical care and who thrives in a community-based setting that values...Full timeTemporary workWork at officeLocal areaRemote workFlexible hoursAfternoon shiftWeekday work
$18k
...more than 50 years, Dignity Health’s Chandler Regional Medical Center... ...focused on quality patient care and service to the community.... ...concurrent and retrospective utilization review to support and... ...providers in order to achieve optimal clinical, financial, operational...Full timePart timeLive out$72k - $80k
...Integration Are You a Diagnostic Specialist Ready to Guide Clients Into Care? Bleuler Psychotherapy Center is seeking an experienced Intake & Assessment Clinician to join our multidisciplinary behavioral health team. This role is not a general therapy position - it's ideal...Full timeTemporary workWork at officeAfternoon shift- Included Health is actively seeking Licensed Behavioral Health Clinicians, including Psychologists and Master Level Therapists, to join our devoted team. Our mission... ...individuals everywhere, ensuring seamless patient care through leading interventions. We are passionate about...Remote job
- North Shore Community Health is hiring Behavioral Health Clinicians for our Salem, Peabody, and Gloucester locations. Selected candidates may provide coverage... ...one or more sites based on organizational and patient care needs. Opportunity Overview Under the supervision of...Work at officeLocal areaAfternoon shift
- A virtual healthcare company is seeking a Survivorship Behavioral Health Clinician to support cancer survivors in navigating mental health challenges... ...individualized therapy, and contribute to comprehensive care plans. The ideal candidate has 3+ years of experience and holds...Remote job
- The Center for Family Life in Sunset Park is offering a full-time position for a Bilingual Behavioral Health Clinician to support immigrant communities through trauma-informed care. This position requires counseling, case management, and advocacy services for clients in...Full time
$280k - $300k
...large, physician-led primary care organization in New York to... ...collaborative environment designed to optimize outcomes through value-based... ..., medical assistants and behavioral health specialists Benefit from... ...and dedicated mentorship Utilize Epic electronic medical...Immediate startMonday to FridayShift work- ...direction, coordination of mental health services for the Psychiatric... ...effective interface within Behavioral Services Division, all other... .... Oversees quality and utilization review for the division. Responsibilities... ...and appropriateness of care provided to patients,...
$125.28k - $155.28k
...Registered Nurse Family Health Center Sunset Terrace Behavioral Health Nursing -- Nursing Brooklyn, NY... ...nation. It includes eight primary care sites, 40 school-based health centers... ...and assists in discharge planning utilizing resources and considering patient/family...Full time- # Behavioral Health RN27 N Vann St, Pryor, OK 74361June 16, 2026Full TimePart TimeApply Now**Deadline... ...Registered Nurse (BHRN)****Angels Care Home Health****Why choose Angels Care Home... ...-day SNVs and OASIS within 48 hours* Utilize appropriate behavioral health and...
- ...seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join... ...reviews while supporting transitions of care and ensuring patients receive... ...Transitions of Care (TOC) initiatives and process optimization. Competitive compensation and benefits...Remote work
- Santa Barbara Cottage Hospital is looking for a Utilization Review Clinician to ensure that medical necessities are reviewed effectively. This role... ...with physicians and healthcare providers to manage patient care through established guidelines. The ideal candidate will possess...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Behavioral Health Utilization Clinician - Care Optimization. Be the first to apply!
- mental health clinician New York, NY
- clinician New York, NY
- licensed mental health clinician New York, NY
- intake clinician New York, NY
- school based clinician New York, NY
- bilingual clinician New York, NY
- crisis clinician New York, NY
- plant health care specialist New York, NY
- intermountain healthcare New York, NY
- business office manager healthcare New York, NY

