Remote Utilization Review Clinician for Behavioral Health
Centene Corporation
Centene Corp. is seeking an Utilization Review Clinician in Behavioral Health to perform clinical reviews and determine the medical necessity of BH services. The role supports Oklahoma Complete Health – Behavioral Health Utilization Management, with a schedule that includes early-morning start times and rotating holidays. The ideal candidate holds LCSW/LMHC/LPC/LMFT/LMHP or RN licensure and a Master’s in Behavioral Health, along with 2–4 years of related experience in utilization review. #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Clinician for Behavioral Health in Brooklyn, NY vacancy
$27.02 - $48.55 per hour
...Medical Management/Health Services team.... ...Performs a clinical review and assesses care... ...review of behavioral health (BH) inpatient... ...and appropriate utilization of services Provides... ...health clinicians required. Clinical... ...approach to work with remote, hybrid, field or...Remote workHourly payFull timeContract workPart timeWork at officeFlexible hoursCentene Corporation
California, MO3 days ago- ...Nurse (RN) Intern to conduct clinical reviews and support healthcare initiatives. This... ...military spouses, providing key training in a remote work setting. Key responsibilities... ...have a valid RN license and clinical behavioral health experience. Ideal candidates possess skills...Remote workInternship
Humana
Augusta, ME3 days ago - ...members or spouses. The role focuses on conducting clinical reviews and supporting care management. Candidates must have an... ...or a compact license and at least two years of behavioral health experience. This remote role operates weekdays from 8:00 AM to 4:30 PM Central,...Remote workInternshipWeekday work
Humana
Jackson, MS2 days ago - ...healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance... ...hold an active RN license and have at least two years of behavioral health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr...Remote workInternshipWeekday work
Humana
Austin, TX3 days ago - ...This role involves conducting clinical reviews for prior authorization requests and documenting... ...have at least two years of clinical behavioral health experience. Proficiency in MS Office... ...software is preferred. The role is remote and offers a structured weekday schedule...Remote workInternshipWeekday work
Humana
Hartford, CT2 days ago - ...Health New England is seeking a Behavioral Health Utilization Management Reviewer in Springfield, MA. The role focuses on medical necessity reviews and care coordination to support positive clinical outcomes for members. You will collaborate with physicians, care managers...Remote work
Baystate Health
Springfield, MA2 days ago $27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...: Performs clinical reviews needed to resolve and... ...Master's degree in related Behavioral/Counseling field AND... .... Knowledge of Utilization Management principles... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork experience placementWork at officeFlexible hoursCentene Corporation
Little Rock, AR1 day ago- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
Virtual Vocations Inc
United States1 day ago - ...Holidays Work-life balance. Remote/hybrid setting (once trained)... ...DESCRIPTION: This individual will utilize clinical knowledge and... ...met, in accordance with the health benefit plan, disability, workers... ...defer decision to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeMonday to FridayFlexible hoursNight shift
Hinesassoc
Rockford, IL4 days ago $23.76 - $51.49 per hour
...seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...offers a competitive hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly payMolina Healthcare
Nevada, IA23 hours ago- ## HNE Behavioral Health Utilization Management ReviewerApplylocations: Springfield, Massachusettstime type... ...Health Utilization Management Reviewer**, you'll play a vital role in ensuring... .../onboarding – this position is fully remote. **Candidate must hold professional license...Remote workHourly payFull time
Baystate Health
Springfield, MA2 days ago - ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity... ...position is full-time, fully remote (work from home) and requires some...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States1 day ago - ...Hines is seeking a dedicated Registered Nurse for a clinical review role. You will evaluate patient data to determine if proposed treatments... ...position is Monday through Friday, 9:30 AM to 6:00 PM, with a remote setting. Qualified candidates will have a current RN license, 3–...Remote workMonday to Friday
Hines
Rockford, IL4 days ago - ...Associates Inc. in Rockford, IL as a Registered Nurse offering a unique opportunity with no nights, weekends, or holidays. Utilize your mental health and substance abuse experience in a dedicated, client-focused environment. The role requires direct patient assessment...Remote workFlexible hoursWeekend work
Hines and Associates
Rockford, IL1 day ago - (CHR) Community Health Resources, Inc. is seeking a Utilization Review Therapist to manage authorization activities pertaining to IOP and... ...Residential programs. This full-time, remote role requires a Master’s degree in behavioral health and relevant experience in treatment...Remote workFull time
(CHR) Community Health Resources, Inc.
Windsor, CT3 days ago - ...This is a great opportunity for a local remote position. Schedule PRN (As... ...support all units/staff (commercial, behavioral health, inpatient, etc). Requirements:... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC HealthCare
Saint Louis, MO3 days ago - ...Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's...Remote work
Comagine Health
Oregon, WI3 days ago - ...Job Title Provides support for clinical member services review assessment processes. Responsible for verifying that services are... ...multidisciplinary teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required...Remote job
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the... ...necessary with other members of the health care team to ensure the above... ...beneficiary's member's health care for behavioral health care management....Remote workFull time
CHRISTUS Health
United States1 day ago - ...assessments and annual onsite/remote audits of delegated vendors,... ...Monitor delegated clinical, behavioral health, UM, CM, QI, DM, and care... ...Monitor delegate performance, review compliance reports, and... ...clinical, behavioral health, utilization management, quality improvement...Remote workContract workFor subcontractorWork at officeMonday to FridayNight shift
w3r Consulting
Chicago, IL2 days ago - ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a... ...Vision, and Values of Nexus Health Systems o Upholds the Standards... .... o Demonstrates honest behavior in all matters. To the best... ...required for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX2 days ago - ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
Berkshire Hathaway Homestate Companies
Omaha, NE1 day ago $85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...through primary care, specialty care, behavioral health services, and care coordination...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
United States6 days ago- ...About Umpqua Health At Umpqua Health, we’re more than just a healthcare... ...care, specialty care, behavioral health services, and care... ...Umpqua Health. Position Title Utilization Review Nurse Department Umpqua... ...Pacific Standard Time) Location Remote position Salary Wage Band 20...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
Umpqua Health
Roseburg, OR3 days ago - ...Registered Nurse - Utilization Review About Company Bestica We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States1 day ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels... ...Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable). InterQual...Remote work
3B Healthcare, Inc.
United States23 hours ago - ...Blue Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services efficiently. Candidates must have at least 3 years of direct patient care experience and an Associate degree in nursing, along...Remote work
Blue Cross and Blue Shield of Kansas City
Kansas City, MO1 day ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
IntePros
Phoenix, AZ3 days ago $85.99k - $105.34k
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants...Remote workFull timeUmpqua Health
Roseburg, OR9 days ago- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Clinician for Behavioral Health. Be the first to apply!
Related searches
- licensed mental health clinician Brooklyn, NY
- crisis clinician Brooklyn, NY
- intake clinician Brooklyn, NY
- bilingual clinician Brooklyn, NY
- school based clinician Brooklyn, NY
- clinician Brooklyn, NY
- mental health clinician Brooklyn, NY
- quality assurance manager remote Brooklyn, NY
- frontend internship remote Brooklyn, NY
- remote broker Brooklyn, NY