Remote Behavioral Health Utilization Manager - Clinical
WellSense Health Plan
- Remote job
WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure appropriate, effective delivery of mental health and substance use services. The role functions as a clinical decision-maker, managing complex outpatient cases and applying clinical expertise to ensure timely care. The position emphasizes collaboration with Medical Directors, documentation, and cross-functional communication, with a focus on quality and compliance. Remote work is supported. #J-18808-Ljbffr WellSense Health Plan
- ...Behavioral Health Utilization Manager The Behavioral Health Utilization Manager plays a critical role in ensuring... ...services. This role serves as a key clinical decision-maker, exercising... ...and Physical Demands: Primarily remote role with periodic travel to the Charlestown...Remote workWork at office
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- Job Title & Specialty Area: Behavioral Health Care ManagerDepartment: IBH... ...through Friday 8-430pmJob Type: Remote - Needs to live within DFW... ...within CHPG and specialty clinics, as well as the clinically integrated... ...treatment goals are met.* Utilize the Diagnostic and...Remote workTemporary workWork experience placementImmediate startMonday to Friday
- ...including cardiovascular health services, behavioral health, allergy... ...imaging, chronic disease management, and other specialty... .... Escalate clinical, safety, compliance,... ...optimization. Ensure team utilization of evidence-based... ...This role is fully remote after training has...Remote work
$38 - $40.86 per hour
...Behavioral Health Case Manager HealthCare Support is actively seeking a Remote BH Case Manager to fill an opening with a Managed Care Company . Daily... ...license in TX ~2+ years' experience utilization review methodologies ~ Must be available...Remote workPermanent employmentTemporary workLocal areaImmediate startMonday to Friday$74.8k - $112.2k
...Behavioral Health Case Mgr - CT08IE We’re determined to make a difference... ...Behavioral Health Case Managers who are responsible for... ...and interpret clinical information. They will utilize established clinical guidelines... ...can have a Hybrid or Remote work schedule. Candidates...Remote workTemporary workWork experience placementWork at office3 days per week- ...home.About the JobLocation: Remote - must reside in Arizona,... ...an exceptional remote Behavioral Health (BH) Case Manager to join our team. Under the direction of the ECM Clinical Manager, the BH Case Manager... ...professionals (e.g. PCP, etc.)Utilize evidence-based practices,...Remote workLocal areaImmediate startMonday to FridayAfternoon shift
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- ...About the job Location: Remote - must reside in Arizona,... ...seeking an exceptional remote Behavioral Health (BH) Case Manager to join our team. Under the direction of the ECM Clinical Manager, the BH Case... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices,...Remote workFull timeImmediate startMonday to FridayWeekend workAfternoon shift
$231.9k
...Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral... ...our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a... ...medical leadership of all for utilization management, cost containment,...Remote workFull timeWork at officeFlexible hoursWeekend work- ...upon request. About the job Title: Behavioral Health Care Manager (internal title: Clinical Lead Care Manager) Location:... ...you’ll do Hybrid (in-person and remote) care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as...Remote workLocal areaImmediate startRelocation packageMonday to FridayWeekend workAfternoon shift
- Behavioral Health Care Manager I (3rd Shift -After Hours) Join to apply for the Behavioral... ...criteria knowledge and clinical judgment to assess member... ...in case management/utilization management with a broad range... ...Health Care Manager (BHCM) - Remote Florida, United States $59...Remote workFull timeContract workTemporary workPart timeLocal areaShift workNight shiftWeekend work1 day per week
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Join to apply for the Behavioral Medical Director - Remote role at Optum 1 day ago Be... ...team will directly improve health outcomes by connecting... ...to and direction of the Utilization Management Program and performing... ...Health Providers, and other clinical professionals who...Remote jobMinimum wageFull timeWork experience placementLocal area- ...Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical... ...retrospective reviews, denial management, documentation, and data analysis... ...training, the position offers remote work from home options. #J-188...Remote jobWork at officeWork from home
$217.6k - $294.4k
...Associate Medical Director Behavioral Health Or Utilization Management Medical Director Doe This is a part-time non-benefited position with a maximum... ...BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all...Part timeImmediate startWork from homeFlexible hours- ...is seeking a Medical Director for Behavioral Health to oversee complex behavioral health care strategies. This remote position requires a Doctor of Medicine... ...along with extensive experience in clinical services and utilization management. Your role involves making...Remote job
- Nationwide Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure... ..., and retrospective reviews, collaborating with clinical staff and payers. After a 90-day in-office training period...Remote jobWork at officeWork from home
$223.8k - $313.1k
...caring community The Behavioral Health Medical Director... ...guidelines based on utilization patterns and client demographics... ...may include national clinical guidelines, CMS... ..., or disease or care management. The Behavioral... ...Travel: While this is a remote position, occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- A leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral health providers and requires strong clinical oversight skills. Candidates must hold a Doctor of Medicine...Remote job
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- ...Carolina, with a strong focus on physical health utilization management and clinical leadership. The role collaborates with medical, behavioral health, and care management teams to... ...functions while accommodating primarily remote work with a North #J-18808-Ljbffr Beacon...Remote job
- ...Wellness and Care is seeking a Clinical Supervisor to provide... ...Jersey in a hybrid model with remote work and periodic onsite requirements... ...standards while guiding utilization, quality assurance, and staff development in a growing behavioral health organization. #J-18808-...Remote job
- Humana seeks a Behavioral Health Medical Director to lead behavioral health... ...extensive experience in utilization management and care coordination... ...setting. The position is fully remote, nationwide in the US,... ...track record in leading complex clinical #J-18808-Ljbffr HumanaRemote job
- ...Care at Home program. The Social Work Manager will serve as social work leader for designated... ...collaborates with the Social Work and Behavioral Health Leadership Teams to ensure alignment... ...social work, case management activities, and clinical #J-18808-Ljbffr Capacity PathRemote jobLocal area
- Children's Health in Dallas is seeking a Behavioral Health Care Manager to support pediatric patients across CHPG and affiliated clinics. The role involves clinical assessments, treatment planning, short-term counseling, and coordination with pediatricians, delivered in...Remote jobTemporary work
- Elevance Health is seeking a Behavioral Health Medical Director (Psychiatrist) for California Medicaid. The role is part... ...per policy. The Medical Director will lead utilization management across levels of care, guide clinical operations for the program, and collaborate...Remote jobPart timeFlexible hours
- A healthcare company in Houston is seeking a Behavioral Health Care Manager to support patients and caregivers dealing with neurodegenerative diseases. You will coordinate care within a Collaborative Care Model, ensuring comprehensive mental health support. Ideal candidates...Remote jobWork from home
$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana... ...may include national clinical guidelines, state policies... ...participation in care management, with clinical... ...services* Experience in **utilization management** review and...Remote workWeekly payFull timeTemporary workWeekend work- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with... ...Management activities within a health insurance/payer... ...clear and concise clinical rationales for provider... ...the following: Non Behavioral Health (Physical Health...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
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