Behavioral Health Utilization Review Specialist
Virtual Vocations Inc
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 medical necessity criteria while working remotely. Key responsibilities Verify insurance benefits, eligibility, and coverage requirements Complete prior authorizations, pre-certifications, and concurrent reviews Collaborate with clinical teams to support continuity of care Required qualifications 2+ years of PHP/IOP utilization review or insurance authorization experience Knowledge of ASAM, LOCUS, CALOCUS, and medical necessity standards Experience communicating with insurance payers and managed care organizations Proficiency with EMR/EHR platforms and authorization software Eligibility for DCF and AHCA Level 2 background screening Virtual Vocations Inc
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Behavioral Health Utilization Review Specialist in New York, NY vacancy
- ...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 medical necessity criteria while working remotely. Key responsibilities...SuggestedFull timeRemote work
Virtual Vocations Inc
New York, NY2 days ago - Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining... .... The ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer requirements, excellent...SuggestedRemote jobPart timeWeekend work
$50k
Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the... ...Qualifications) Bachelor’s degree in a health or behavioral health-related field...SuggestedRemote job$62k - $70k
...Why Charlie Health? Millions of people across the country are... ...that lacks personalization, behavioral healthcare can leave people feeling... ...is to ensure that the utilization process is thorough, organized... ...manner Completes peer to peer reviews with insurance MDs to...SuggestedFull timeLocal areaRemote workCharlie Health, Inc.
New York, NY1 day ago- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a strong team-oriented environment...SuggestedWork at officeRemote work
NurseRemotely
New York, NY5 days ago - ...Company LLC is seeking a licensed nurse to perform concurrent reviews for Ambetter members in Georgia. This fully remote role follows... ...education and 2+ years acute care experience; knowledge of utilization management is preferred. This role offers remote flexibility and...Remote jobMonday to Friday
- ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent... ...qualifications Bachelor's degree in a health or behavioral health-related field required; graduate degree preferred...Full timeRemote work
Virtual Vocations Inc
New York, NY2 days ago $20 - $30 per hour
...A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include...Guidelight Health
New York, NY7 hours ago$36 per hour
...Position Summary: The Behavior Intervention Specialist (BIS) will assess and... ...respect and dignity and to utilize person centered supports designed... ...Support Plan (BSP) and reviews semi-annually and updates... ...on the agency's electronic health platforms, i.e....Local areaServices for the UnderServed
New York, NY2 days ago- A healthcare facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The role involves collaboration with various stakeholders, including physicians and Care Coordination staff, to support patient...Remote work
Santa Barbara Cottage Hospital
New York, NY3 days ago $69.79k
...Behavioral Health Specialist Needed Full-time, IMT Position Program/Department Description: Intensive Mobile Treatment (IMT) is an innovative... ..., timely and accurate documentation of all contacts. Utilize public transportation to travel throughout the boroughs....Full timeWork at officeFlexible hoursWeekend workDay shiftAfternoon shiftBond Health
New York, NY3 days ago- ...Athra Systems/Crosstown Mental Health is a dynamic and forward-... ...to offering a wide array of behavioral health services and solutions... ...Behavioral Health Charge Entry Specialist, is responsible for ensuring... ...(EVOB). Quality Assurance: Review and verify insurance claims for...Remote job
$45 - $70 per hour
...Angelo , Larry Summers , and Jack Dorsey . Position: Behavioral Health Expert, AI Safety and Model Evaluation Type: Contract... ...or support, reach out to: ****@*****.*** PS: Our team reviews applications daily. Please complete your AI interview and application...Contract workSummer workRemote workWeekday workMercor
New York, NY4 days ago$74.49k
...Job Description Job Description BEHAVIORAL HEALTH SPECIALIST INTENSIVE CASE MANAGEMENT QUEENS SUPERVISED RELEASE POSTED: 8/10/2026... ...operations, pilot projects, and research under one roof. CJA utilizes procedural justice practices to provide pretrial services...Work from homeFlexible hoursNight shiftNYC Criminal Justice Agency
New York, NY29 days ago$25.46 - $31.86 per hour
Overview Behavioral Health Associates assist social services teams to provide supportive counseling, advocacy, and education to help patients... ...Participates in related VNS Home Care activities, e.g., utilization review, staff meetings, education programs, etc. Assumes...Temporary workWork experience placementFlexible hours- ...We are seeking a Behavioral Intervention Specialists for our Brooklyn, Manhattan and Long... ...to assure that the mental health and behavioral needs of... ...data collection methods and reviews data at least monthly. Behavioral... ...plans or services which utilize restrictive/intrusive...Full timeWork at officeMonday to FridayFlexible hoursNight shift
Constructive Partnerships Unlimited
New York, NY2 days ago - Sanford Health, the largest rural health system in the United States, seeks a registered nurse to perform utilization management, medical necessity reviews, and prior authorization coordination. The role supports compliant, cost-conscious care across our large network....
$64.35k
...supervision of BIS leadership, Behavior Intervention Specialists (BISs) perform clinical... ...from multiple sources and utilizes findings to conduct... ...interdisciplinary meetings and case reviews, including scheduled... ...and registration in Mental Health Counseling issued by the New...Full timeReliefMonday to FridayFlexible hoursAfternoon shiftYAI Seeing Beyond Disability
New York, NY3 days ago- ...Job Title: Behavior Intervention Specialist Classification: Non-Exempt Job Class: Union... ...assessment/evaluation reviews, annual clinical trainings... ...disabilities, and medical and mental health services. Review and... ...planned contingencies) utilizing baseline procedures and formulating...Part timeWork at office
Little Flower Children and Family Services of New York
New York, NY1 day ago $20.98 - $26.23 per hour
...Overview VNS Health Peer Specialists/ Advocates are living examples of... ...the transformative power of behavioral health intervention... ...their recovery process Reviews service plans with clients... ...department and inpatient utilization, helping them access treatment...Temporary workFlexible hoursVNS Health
New York, NY1 day ago- ...MetroPlus Health provides the highest quality healthcare... ...care providers, specialists and participating... ...primary MetroPlusHealth Behavioral Health Care Manager and... ...is unavailable. Utilize the personal lived experience... ...Plans will be reviewed and signed by Team Leader...Work at officeLocal areaTrial period
MetroPlusHealth
New York, NY4 days ago $66.95k
...Behavioral Health Specialist CASES is a New York City agency working at the forefront of the intersection between behavioral health and involvement in the criminal justice system. Our mission is to increase public safety through innovative services that reduce crime...Full timeWork at officeRemote workTrial periodMonday to FridayFlexible hoursShift workDay shiftCenter for Alternative Sentencing & Employment Services
New York, NY5 days ago- ...Ensora Health is the leading provider of software... ...services for mental and behavioral health therapists, trusted... ...clients. As an RCM Specialist II, you will serve as... ...ll Do Submit, review, correct, and process... ...customer outcomes. Utilize technology and available...Work at office
Ensora Health
New York, NY1 day ago $60k
...ROLE The Harm Reduction Specialist provides engagement... ...and alcohol use, sexual health and self-harm, using a... ...engaging in risky behaviors. In addition, the Harm... ...participants, including reviewing service plans with program... ...and safety hazards, utilizing individualized...Local areaFlexible hoursWeekend workAfternoon shiftSUS Inc
New York, NY3 days ago$40 - $45 per hour
...Behavior Intervention Specialist (Manhattan) - Mon-Fri, 9AM-4:30PM New York, NY ( • Day Services Job... ...not limited to the following: Reviews psychological assessment on individuals... ...and instructs program staff in utilization of goals, behavior management, interpretation...Full timeMonday to FridayADAPT Community Network
New York, NY1 day ago- Community Healthcare Network is seeking a Full-Time Behavioral Health Screener to join our Behavioral Health treatment team. You will provide... .... The role involves conducting diagnostic assessments, utilizing scoring tools, and maintaining timely documentation. A strong...Full time
- ...A leading health consulting firm is seeking an EMR Specialist to support behavioral health clients by maintaining and optimizing EMR forms and workflows. This part-time, fully remote position requires super-admin experience in Kipu, Sunwave, or Ritten for building and...Full timePart timeRemote work
Atlantic Health Strategies™
New York, NY5 days ago - ...NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 17... ...milieu, patient supervision and other behavioral health related duties, including assisting... ...policies. Examples of Typical Tasks : 1. Utilizes crisis and/or de-escalation intervention...Full timeTemporary workShift workWeekend work
NYC Health Hospitals
New York, NY3 days ago - ...Behavioral Health Adult Clinic Position NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East... ...and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers...Full time
Metropolitan
New York, NY7 hours ago $22.37 per hour
...Responsibilities\nAll Assistant Behavior Intervention Specialists (ABIS) perform the... ...to ensure and protect the health, safety and well-being of... ...with established systems by reviewing documentation, retraining... ...systems including email, utilizing Workday and/or related systems...Full timeLocal areaShift workWeekend workAfternoon shiftYAI
New York, NYmore than 2 months ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Behavioral Health Utilization Review Specialist. Be the first to apply!
Related searches
- senior safety specialist New York, NY
- reentry specialist New York, NY
- grocery specialist New York, NY
- localization specialist New York, NY
- agency management specialist New York, NY
- restaurant specialist New York, NY
- outreach specialist New York, NY
- renovation specialist New York, NY
- generation specialist New York, NY
- senior program specialist New York, NY