Remote Behavioral Health Utilization Specialist
$65k - $88.6kHumana
- Remote job
Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document, and communicate medical services and benefit determinations. The role requires clinical knowledge, independent decision-making, and collaboration with providers and members to ensure optimal care. The remote position includes standard hours, occasional travel for meetings, and eligibility for a bonus plan; base pay ranges from $65,000 to $88,600 annually, with benefits #J-18808-Ljbffr Humana
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining... ...ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
- ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant... ...optimization, compliance, and high-quality patient care across behavioral health services. #J-18808-LjbffrRemote work
- ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote workFull timeMonday to Friday$90.9k - $129.9k
...Apply your expertise to adjudicate Behavioral Health prior authorizations based on medical... ...for this role, rather you will provide utilization review and quality assurance. Your... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hours- ...in monitoring the Mental Health Plan and Drug-Medi-Cal Organized... ...records to ensure proper utilization of treatment resources... ...for clients receiving behavioral health treatment. UR Specialists also interpret, advise... ...The option for hybrid remote work may be available based...Remote workContract workLocal areaTrial periodFlexible hours
- Banner Health is seeking a Behavioral Health Utilization Care Manager to authorize initial admissions and perform concurrent reviews for medical necessity.... ...appropriate care plans and discharge planning. The position is remote, but Arizona residency is required for compliance....Remote job
- Row Partners in Utah is seeking a Behavioral Health Utilization Management Specialist to bridge clinical care and insurance coverage. Based in Sandy with hybrid/remote options, you will review records, determine medical necessity, and collaborate with clinicians, payers...Remote work
- Principles Recovery Center in Florida is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, substance use, and co-occurring treatment in a PHP/IOP setting. You will verify benefits, complete prior...Remote job
$65k - $88.6k
Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and communication... ...of medical services and benefit determinations. This remote role requires clinical experience and Kentucky...Remote job- Alliance Health in Morrisville, NC is seeking an UM Clinical Specialist-Behavioral Health to perform utilization reviews and care management for PHIP-enrolled providers. The role emphasizes... ...with flexibility for a primarily remote schedule and occasional office...Remote jobWork at office
- Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and communication... ..., and collaboration with providers and members, in a remote setting. Requirements include a nursing degree or a...Remote jobWork at office
- Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 for a remote role in the US. The candidate should have 3+ years of post-degree clinical BH experience, and hold an RN license (MS-COMPACT) or a Master's in a behavioral health field with...Remote job
$65k - $88.6k
Humana Healthy Horizons in Kentucky seeks a remote utilization management behavioral health professional to coordinate, document and communicate decisions about medical services and benefits. The role is remote nationwide and full-time, with a pay range of $65,000 to $8...Remote jobFull time- Humana is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and determinations for medical services and benefits. The role is remote, with duties that require clinical knowledge, independent decision-making, and adherence...Remote job
- Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health / Utilization Management Who We Are At Row Partners , we’re more than a healthcare support organization — we’re a...Remote workFull timeWork at office
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
- Bradford Health Services is seeking an Utilization Review Specialist in Birmingham, AL. The role ensures medical necessity and regulatory compliance across patient care, collaborating with providers, insurers, and case managers to optimize outcomes. The candidate will review...Remote job
- ...About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...We are seeking an experienced specialist who is passionate about making a... ...preferred. 2-3 years of utilization review experience in behavioral...Remote workDaily paidFull time
$70.47k - $102.47k
...Annually General Job Description As a Behavioral Health Specialist, you will be part of an integrated... ...schedule with opportunities for both remote and on‑site work. Professional Standards... ...and/or substance use disorders. Utilizes evidence‑based treatment models and adhere...Remote workWork at officeFlexible hours$36 per hour
...Behavior Intervention Specialist Company Overview: As a leading provider of residential and support services... ...with respect and dignity and to utilize person centered supports designed to... ...documented on the agency's electronic health platforms, i.e. PrecisionCare and Power...Remote workLocal area- Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. This position is 100% remote.... ...admissions departments nationwide. The role involves utilizing Salesforce for documentation and coordinating...Remote jobRelief
- ...New Vista Behavioral Health is seeking a detail-oriented Corporate Utilization Review Specialist to support utilization review and insurance authorization processes across multiple behavioral health facilities. Candidates must hold an active clinical license as an...
$48.78 - $73.17 per hour
...glad you are interested in joining Sutter Health! Organization ABSMC-Alta Bates Herrick... ...admission, need for continued stay, and proper utilization of physician, nursing, and ancillary... ...REQUIRED EDUCATION Department, Behavioral Health: Master's in Social Work or related...Full timeWork at officeLocal areaMonday to FridayShift workWeekend work- ...Pavilion Behavioral Health System in Champaign, Illinois, is seeking a Full-time Utilization Review Coordinator to ensure accurate chart reviews and to obtain hospital stay certifications from insurers. The role supports behavioral health and addiction treatment across...Full time
- ...Michigan Department of Health and Human Services mission... ...functions as the behavioral health and aging legislative specialist by projecting and tracking... ...within established limits, remote work and alternate or hybrid... ..., furniture, and utilities. The use of artificial intelligence...Remote work
- ...into CFT meetings. Demonstrates deeper knowledge of behavioral health management skills. Primary Location Remote Department PS Network - OhioRise Shift Day (... ...to meet youth and families’ needs as identified. Utilizing culturally competent and trauma informed care principals...Remote workFull timeShift work
- San Jose Behavioral Health seeks a Utilization Review Specialist (Full Time) to support the Utilization Department in an acute psychiatric hospital. Responsibilities include concurrent reviews, pre-certifications, discharge planning, and providing guidance on documentation...Full time
- Coastal Pines Behavioral Health, a new 144-bed behavioral health hospital near Jacksonville, seeks a full-time Utilization Specialist to monitor utilization of services and optimize reimbursement for the facility. The role involves liaising with managed care organizations...Full time
- Coastal Pines Behavioral Health seeks a full-time Utilization Specialist to proactively monitor service utilization and optimize reimbursement for a 144-bed behavioral health hospital near Jacksonville, FL. The role involves liasing with managed care organizations, reviewing...Full time
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