Remote Behavioral Health RN - Utilization Mgmt
Wellframe
HealthEdge in the United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical necessity reviews across inpatient, outpatient, and ancillary services. Coordinate care through the health care continuum while maintaining clinical documentation and communication with providers. The role requires an active RN license, 2+ years acute clinical experience, and 1+ year in Behavioral Health/utilization management; remote work across time zones as #J-18808-Ljbffr
- ...Humana is seeking a remote Utilization Management Behavioral Health Professional 2 in Indiana. The role requires an active RN license in Indiana, an ASN (BSN preferred), and 1+ year of clinical and managed care experience. You will coordinate with providers and members...Remote work
$29.1 - $62.32 per hour
...re building a world of health around every individual... ...Position Summary Join our Utilization Management team as a... ...from providers. Remote Work Expectations This... .... ~3+ years of acute behavioral health and/or substance... ...'s degree in nursing (RN) required, BSN preferred...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- Cambia Health Solutions is seeking a Behavioral Health Utilization Management Clinician to work from home within Oregon, Washington, Idaho or Utah. The role focuses on applying utilization management to ensure medical necessity and cost-effective outcomes while supporting...Remote jobWork from home
$65k - $88.6k
...part of our caring communityThe Licensed Behavioral Health Utilization Management Professional uses... ...action: Licensed Registered Nurse ( RN ) – Multi-State Compact Master's degree... ...to troubleshoot and resolve within a remote environment Preferred Qualifications...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday- ...HealthCheck360 is seeking a dedicated Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling... ...professional office setting with daytime hours and occasional remote options, contributing behind the scenes to improve patient...Remote workWork at office
- ...Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote work with a focus on coordination and documentation of behavioral health determinations for Louisiana members. The role requires Louisiana residence, 3+ years of post-degree...Remote work
$101.72k - $198.36k
...Location: California - Ability to work remote, but selected candidate must... ...position requires California RN Licensure. Candidates must have significant... ...all of the following functions: utilization management, care management, behavioral health and other programs. Leads team...Remote workContract workWork experience placementWork at officeLocal area- ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant to review inpatient and outpatient services remotely. You will apply evidence-based criteria, collaborate with providers... .... The ideal candidate holds an RN license, 1+ year BH/SA review experience...Remote work
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSan... ...case management across the health system and virtually in the... ...2 days onsite and 3 days remote per weekDay shift schedule... ...experience preferredExperience in Behavioral Health, Emergency...Remote workWeekly payContract workLocal areaShift workDay shiftWeekday work
- ...ClinicThe Registered Nurse (RN)-On-Demand Clinic provides timely... ...specific focus on addressing behavioral health needs and acute medical... ...encounters, serving as a primary remote access point for patients in... ...patients.Crisis Management : Utilize de-escalation techniques and...Remote workContract workTemporary work
- ...One of the largest health benefits companies in the... ...benefits, dental, vision, behavioral health benefit services... ...the LTSS department. RN will be responsible for... ...of treatment setting by utilizing the applicable medical... ...Additional Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
$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- ...CVS Health is hiring a Behavior Health Utilization Management Clinician for a 100% remote nationwide role. The position focuses on reviewing requests, coordinating decisions, and ensuring timely, appropriate behavioral health services with crisis management when needed...Remote work
- ...Status: Non-Exempt A Brief Overview Behavioral Health is a specialty within the nursing profession... ...Health professional practice model. Utilizes appropriate resources to plan, provide,... ...Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet...Remote workPart timeShift workDay shift
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician to join the remote Utilization Management team. You will review preauthorization requests, document decisions, and coordinate with providers to ensure timely, appropriate behavioral health services...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician to support members’ mental health outcomes from a remote position with a Louisiana preference, Sunday–Thursday, 8:00 AM–... ...health license in Louisiana (or an RN with psychiatric specialty), 3+ years...Remote work
- ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a fully remote role nationwide. The position supports utilization management decisions, crisis intervention, and care coordination across providers and teams. The role requires an active...Remote workShift work
- ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred location. You will review services, coordinate decisions... ...Louisiana behavioral health license or compact RN with psychiatric experience, 3+ years of...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. You will review services, apply guidelines, and coordinate... ...Health license (Louisiana or Compact RN with psychiatric experience) and 3+ years of...Remote workWeekend work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role with weekend hours and holiday availability. The position involves... ...behavioral health license (LPC/LMHC/LCMHC or RN) and 3+ years of post-licensure experience in...Remote workWeekend work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role. The position involves reviewing preauthorization requests, coordinating utilization decisions, and handling crisis risk assessments while supporting quality and cost-effective...Remote work
$33.52 - $50.28 per hour
...Description The 7M Medical / Behavioral Unit is a specialized 1... ...-occurring behavioral health needs, and substance... ...treatment. The RN provides professional nursing... ...outcomes and resource utilization. Serves as a role... ...Arrangements/Schedules Remote Work Options Paid...Remote workWork experience placementRelocationFlexible hours- ...CVS Health is seeking a remote Behavioral Health Utilization Management Clinician to support members in a Sunday–Thursday CST schedule from Louisiana preferences... ...active behavioral health licensure in LA or a Compact RN with psychiatric experience, plus 3+ years of...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review preauthorization requests, coordinate decisions with providers, and manage crisis calls while upholding clinical judgment and quality care....Remote workFull timeShift work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician to join our remote team. The role focuses on determining medical necessity, coordinating care, and applying... ...license (Louisiana options) or a compact RN with psychiatric experience, with 3+ years...Remote workWeekend work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote, nationwide role. You will review preauthorization requests for behavioral health services... ...health license (LPC/LMHC/LCMHC or RN) and has 3+ years of post-licensure behavioral...Remote workShift workWeekend work
- ...Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to manage utilization reviews across states, ensuring medical necessity and policy compliance. Remote work is available with state licensure requirements to maintain. The role emphasizes collaboration...Remote work
- ...CVS Health is seeking a Behavioral Health Precertification/Utilization Management Clinician to review authorization requests and determine... ...health services. This fully remote role emphasizes evidence-based... ...Health licensure or an RN with psychiatric experience, plus...Remote workMonday to Friday
- ...WellSense Health Plan, a Massachusetts-based nonprofit health insurer, is seeking a Behavioral Health Utilization Manager. This role requires clinical judgment to assess outpatient... ...complying with standards. The role supports remote work, offers competitive pay, and...Remote work
- ...Optum is seeking a remote Behavioral Health Utilization Review Specialist to support case management and care coordination. This full-time, Monday–Friday role offers standard business hours with occasional on-call needs based on business requirement. The position requires...Remote workFull timeMonday to Friday
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