Remote Behavioral Health Utilization Clinician
4062 Aetna Resources, LLC
- Remote job
CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote Louisiana-based role with a Sunday through Thursday schedule. You will review services for medical necessity, apply evidence-based guidelines, and coordinate utilization decisions with care teams across multiple levels of care. The position requires an active Louisiana Behavioral Health license or psychiatric RN with 3+ years of clinical experience and EMR documentation experience, plus flexibility for #J-18808-Ljbffr 4062 Aetna Resources, LLC
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5 Pacific...Remote workMonday to Friday
- ...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
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Specialist to assess care for mental health and substance use, reviewing authorization requests and inpatient cases across various settings. The role emphasizes collaboration with providers,...Remote work
- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a nationwide...Remote workFull timeDay shift
- ...Centene Corporation is seeking a remote Behavioral Health Utilization Review Nurse/Clinician to assess care for mental health and substance abuse. Role supports the California Market with flexibility for other states, working Mon-Fri Pacific time. Licensure as required...Remote work
$27.02 - $48.55 per hour
## Utilization Review Clinician - Behavioral HealthApply: Remote-OR: Full time: Posted Today: 1666128**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related...Remote workHourly payFull timeMonday to Friday- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for... ...to ensure appropriate levels of care and efficient utilization of services. Required qualifications include a nursing or...Remote job
- 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 job
- CVS Health is seeking a Behavioral Health Precertification/Utilization Management Clinician to review authorization requests and clinical documentation for medical necessity... ...evidence-based guidelines. You will work 100% remotely with a consistent Monday-Friday schedule (1...Remote jobMonday to Friday
- Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven...Remote job
- Centene Corporation is seeking a remote Behavioral Health Utilization Review Clinician for the California Market. The role supports a Monday-Friday schedule with Pacific Time hours, open to other states with suitable hours. Preferred candidates have BH utilization management...Remote jobMonday to Friday
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position requires active behavioral health licensure in Louisiana or a compact RN with psychiatric experience and a minimum of three years in behavioral...Remote job
- CVS Health is seeking a licensed Behavioral Health Utilization Management clinician to ensure evidence-based services and appropriate treatment planning for members across the care continuum. This remote role prioritizes quality and cost-effective care while coordinating...Remote job
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for remote work with a Louisiana preference. The role focuses on ensuring appropriate, evidence-based behavioral health services and coordinating care planning for members. A licensed behavioral...Remote job
- Cambia Health Solutions is seeking a licensed behavioral health clinician to perform utilization management reviews and coordinate care for members across WA/OR/ID/UT. The role... ...outcomes. You will work with a national team in a remote-capable environment, focusing on medical...Remote job
- Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to perform utilization management across prospective, concurrent, and retrospective reviews. The role... ...-effective outcomes. The position supports remote work options within OR, WA, ID, UT, with pay...Remote job
- Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate medical services and determinations for members. This remote role requires a Louisiana-resident license setup and extensive behavioral health expertise...Remote job
- Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assessments related to mental health and substance use... ...and medically necessary. Based in Louisiana, this remote, full-time role offers day shifts, competitive pay, and...Remote jobFull timeDay shift
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote role. You will review authorization requests, apply guidelines, and coordinate with... .../behavioral health experience, plus utilization management background and inpatient BH experience...Remote jobFlexible hoursWeekday work
- CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred schedule. The position supports medical necessity reviews, discharge planning, and coordination across care teams to ensure quality outcomes. Ideal candidates...Remote jobWeekend work
$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse... ...provided are medically appropriate. This fully remote role supports Oregon Medicaid and is ideal for candidates...Remote workFull timeWork at officeFlexible hoursDay shift$71.14k - $115.86k
...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees... ...organizations, ensuring data protection and integrity. #LI-Remote Pay ranges vary based on the candidate's work...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours$54.1k - $116.76k
...We’re building a world of health around every individual — shaping a more connected, convenient... ...person, one family and one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM – 8:30 PM EST...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work$54.1k - $142.58k
...We’re building a world of health around every individual — shaping a more connected, convenient and compassionate... ...person, one family and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are...Remote workHourly payFull timeTemporary workLocal areaShift workNight shiftWeekend work- ...Centene Corporation seeks a remote Behavioral Health reviewer to support the Texas Ambetter Inpatient Behavioral Health population. The role requires 4 x 10-hour shifts weekly with Saturday availability; weekend differential is offered. You will evaluate care, perform...Remote workShift workWeekend work
- Centene Corporation offers a fully remote clinical reviewer position focused on mental health and substance use care within the California Market. The role requires... ...or related bachelor’s degree and master’s level behavioral health training, with licenses to practice. #J-18...Remote job
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a fully remote role with a Monday-Friday 12:00 PM-8:30 PM EST schedule. The position reviews behavioral health authorization requests, applies guidelines, and ensures timely, evidence-based care...Remote jobMonday to Friday
$29.1 - $62.32 per hour
...We’re building a world of health around every individual — shaping... ...Position Summary Join our Utilization Management team as a Nurse... ...information from providers. Remote Work Expectations This is... ...required. ~3+ years of acute behavioral health and/or substance abuse...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$29.1 - $62.32 per hour
## Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: October 28, 2026 (20 days left to apply): R1051758We’re building a world of health around every individual — shaping a more...Remote jobHourly payFull timeTemporary workWork experience placementWork from homeMonday to FridayFlexible hoursShift workWeekend work
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