Behavioral Health Utilization Review Specialist
Memorial Physician Practices
Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations, accuracy in denials and certifications, and effective communication with physicians and care teams. You will apply clinical criteria, coordinate with managed care organizations, complete pre- and post-certifications, and help the treatment team understand coverage. #J-18808-Ljbffr Memorial Physician Practices
- ...matters Mesa Springs is part of Lifepoint Health, a diversified healthcare delivery... ...exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a... ...about Mesa Springs Mesa Springs is a behavioral health hospital offering exceptional...SuggestedTemporary workPart timeRelief
- Utilization Review Specialist- Healthcare | Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to...SuggestedTemporary workWork at office
$110k
...Summary Comprehensively plans with the health care team to ensure patient needs are met... ...time frame and with the most efficient utilization of resources. Carries out activities related... ...documentation for justification. Reviews the patient’s plan of care in conjunction...SuggestedDaily paidFull timePart timeFlexible hoursShift work- University of South Alabama Health System seeks an experienced Registered Nurse for Utilization Review to perform quality reviews, prior authorizations, and discharge planning. The role collaborates with physicians and care teams to ensure compliant, timely patient care...Suggested
- ...is seeking a qualified RN to support clinical member services review and assessment processes. You will verify medical necessity, align... ...integrated care across the continuum. The role emphasizes utilization management, adherence to timelines, and collaboration with multidisciplinary...Suggested
$55k
...yourself in a rewarding career for years to come! As the Utilization Review Specialist, you will work in an office based setting located in... ...healthcare or related field; Master's Degree Preferred in Behavioral Health/HealthCare or related field; OR LPN or RN Minimum 2...Extra incomeWork at office$18.13 - $29.9 per hour
...Director (Partial) and Unit Charge RN, the Behavioral Health Specialist I (BHS I) is responsible for... ...policies and procedures. Attends peer review and staff meetings as assigned. Maintains... ...in a safe, effective manner, utilizing the least restrictive, safe patient care...Immediate startShift workWeekend workAfternoon shift- ...Friday, September 4, 2026 at 6:00 AM Behavioral Health Specialist, Full time, Day Shift, Walworth/Racine... ...rights restoration. Monitoring BH Utilization and Quality - Coordinator Meets regularly... ...the Behavioral Health Manager to review complex cases, develop and refine policies...Full timeWork at officeLocal areaRelocationMonday to FridayFlexible hoursDay shift
$21.86 per hour
...Sea Mar Community Health Centers, a Federally Qualified Health Center... ...than 90 medical, dental, and behavioral health clinics and a wide... ...Summary The Behavioral Health Specialist provides primary community... ...interdisciplinary team case reviews. Will promote a positive team...Hourly payPermanent employmentFull timeWork experience placementLocal areaImmediate start$24 - $26 per hour
...towards sustainable mental wellness? As a Behavioral Health Associate , you will work... ...Health Associate role. Responsibilities Utilize de-escalation techniques and crisis management... ...with their daily needs and activities. Review and apply treatment team strategies daily...Hourly payTemporary workShift workNight shift$83.64k - $115.77k
...99 Edmonds, WA 98026, USA Community Health Center of Snohomish County offers competitive... .... Job Summary The Social Worker/Behavioral Health Specialist (Certified) operates in a team with... ...CHC’s credentialing and privileging review upon hire and re-credentialing as...Full timeWork at office$57 - $65 per hour
...an accommodation or an alternative application process. Behavioral Health Specialist: Part-Time/Evening Hours ** Professional Lake Forest, CA,... ...participation in the health center’s quality assurance and peer-review programs. Cooperate in investigations, patient grievances...Hourly payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift- Utilization Review Specialist - North Little Rock, AR (72113) Are you an experienced healthcare professional looking for an opportunity to make a... ...willingness to learn systems such as PCC, Care Auth, Net Health, Availity , and Home & Community services Proficient in Microsoft...Work at office
$38.5k
Utilization Review Specialist Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization GMH - Utilization Review Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will...Hourly payFull timePart timeWork at officeMonday to FridayFlexible hoursWeekend work- ...knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to... ...Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of...Work experience placement
- ...Behavioral Intervention SpecialistWorks in conjunction with the Interdisciplinary... ...) to assure that the mental health and behavioral needs of the... ...data collection methods and reviews data at least monthly.... ...plans or services which utilize restrictive/intrusive interventions...Work at officeFlexible hoursNight shift
- ...Behavior Intervention Specialist Under the supervision of the Family Care Coordinator... ...assessment/evaluation reviews, annual clinical trainings... ...disabilities, and medical and mental health services. Principle... ...planned contingencies) utilizing baseline procedures and...Part timeWork at office
$64.35k
...Behavior Intervention Specialist Under supervision of BIS leadership, Behavior Intervention... ...from multiple sources and utilizes findings to conduct... ...meetings and case reviews, including scheduled Person... ...and registration in Mental Health Counseling issued by the New...Full timeReliefMonday to FridayFlexible hoursAfternoon shift$68.6k - $85.7k
...Behavioral Health Specialist Department: Social Work Employment Type: Full Time Location: Holland, MI Reporting To: Benjamin Barrett Compensation: $68,600 - $85,700 / year Description Schedule: Exempt, minimum 40 hours per week | Full Time | Monday - Friday | 8:00am -...Daily paidFull timeLocal areaMonday to FridayFlexible hours- UnitedHealth Group seeks a Clinical Wellbeing Specialist to provide telephonic and chat-based behavioral health support. The role conducts risk assessments, coordinates care, and connects members to benefits and resources, while maintaining records and collaborating with...Remote jobFlexible hours
$62k
...states. We are seeking a Full-Time Behavior Support Specialist to provide support in Brooklyn, NY to... ...situations. Ingenuity and creativity must be utilized when determining the best training... .... For further information, please review the Know Your Rights notice from the...Full timeLocal areaImmediate startFlexible hours- Chartiers Center in Washington County Clinic, Washington, PA, is seeking a Screening & Intake Specialist to provide compassionate support to people facing behavioral health challenges. The role includes screening initial requests, handling intake and assessment activities...Hourly pay
$19 per hour
Responsibilities Heartland Behavioral Health has been providing care for children and adolescents for over 100 years in Nevada, Missouri.... ...JOIN OUR TEAM AND HELP US CHANGE LIVES! The Behavioral Health Specialist performs direct patient care duties and services under the...Local areaShift work- ...services and positive outcomes. The role requires delivering counseling, maintaining detailed documentation, and participating in care-review meetings. A Bachelor’s degree is required, Master’s preferred, with at least three years of youth experience #J-18808-Ljbffr...
- Centerstone is seeking a School Based Support Specialist to deliver individualized behavioral health interventions in school settings. The role emphasizes collaboration with students, families, schools, and community partners to promote recovery and resilience. The position...
$39.11 per hour
...seeking a Full-Time, Licensed Behavior Specialist. Licensed Behavior... ...within the Intensive Behavioral Health Services program. Starting... ...support plans. Frequently review learning program records, including... ...needs of each client. Utilize preference assessments and model...Full time$24 - $24.25 per hour
...access for all. At Vivent Health, we’re building a... ...together medical care, behavioral health, pharmacy, research... ...Expectations. The Specialist, Prevention is... ...services and activities utilizing established internal data... ...Please follow this URL to review one such program and...Hourly payFull timePart timeWork experience placementWork at officeLocal area$23.2 - $31 per hour
...Howard Head Sports Medicine. Intake Specialist New Schedule Schedule Full-time... ...Shift Rotating Details Company Behavioral Health Location Edwards, CO Category... ...works closely with the hospital’s Utilization Management/Utilization Review, Admissions, Insurance Verification...Hourly payFull timeTemporary workImmediate startRotating shift- Oak Street Health seeks a Behavioral Health Specialist to provide integrated mental health services for adult Medicare patients in underserved communities. In this role, you will deliver assessments, brief therapy, and care planning for patients with depression, anxiety...
- Rochester Regional Health is seeking a Recovery Specialist for the Behavioral Health department at St. Mary’s Campus, Rochester. The role supports educational, clinical and peer services to help recipients achieve recovery goals. The position is full‑time, Monday to Friday...Full timeMonday to Friday
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