Remote Behavioral Health Utilization Manager
Well Sense Health Plan
WellSense Health Plan, a Massachusetts-based nonprofit health insurer, is seeking a Behavioral Health Utilization Manager. This role requires clinical judgment to assess outpatient behavioral health services and ensure timely, appropriate care while complying with standards.
The role supports remote work, offers competitive pay, and excellent benefits. Candidates should bring licensure in MA/NH and 5–7 years in health insurance with behavioral health focus.
#J-18808-Ljbffr- ...County of San Juan is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations... ...for medical services and benefits. This is a fully remote position within the United States. The role requires...Remote work
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- Banner Health seeks a Behavioral Health Utilization Care Manager to review prior authorizations for outpatient behavioral health services, ensure medical necessity, and align with clinical guidelines and plan requirements. The role collaborates with providers and interdisciplinary...Remote job
- Behavioral Health Utilization Manager### Behavioral Health Utilization ManagerApply: Remote: Remote Arizona: Full time: Posted Today: R4460250**Department Name:****Work Shift:**Day**Job Category:**Clinical Care The future is full of possibilities. At Banner Health, we’re...Remote workFull timeWork experience placementWork at officeLocal areaImmediate startMonday to FridayShift work
$69.5k - $100.5k
...exciting time to join the WellSense Health Plan, a growing regional health insurance... ...circumstances. Job Summary The Behavioral Health Utilization Manager plays a critical role in ensuring... .... Our Investment In You Full-time remote work Competitive salaries Excellent...Remote workFull timeWork at officeFlexible hoursWeekend work- Banner Health is seeking a Behavioral Health Utilization Care Manager to oversee utilization reviews and authorize services across inpatient, residential, and outpatient settings. You will collaborate with hospitals, providers, and care teams to ensure medical necessity...Remote job
- Humana, Inc. in the United States is seeking a Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate... ...services and benefit determinations. The role supports remote work from Oklahoma with a standard 40-hour week and...Remote job
- ...staffing firm is seeking a TEMP-TO-PERM Care Manager RN to oversee the continuum of care for mental health and substance abuse services. The role... ...LCPC license, with 2-3 years of experience in Behavioral Health and Utilization Management. Responsibilities include reviewing...Remote jobPermanent employmentTemporary work
$75.3k - $135.4k
...Position Purpose: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate... ...to-day activities of BH utilization management team. Key Details: Are you a BCBA... ...field you know? Centene is seeking a remote Supervisor, Behavioral Health...Remote workFull timePart timeWork at officeFlexible hours- Centene Corp. is seeking a remote Supervisor of Behavioral Health Utilization Management to lead a PIC ABA team of certified BCBAs. The role involves guiding clinicians, ensuring compliant utilization review, and collaborating with providers and health plan partners to...Remote job
$29.1 - $62.32 per hour
We're building a world of health around every individual - shaping a more connected, convenient... ...person, one family and one community at a time. Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday-Friday, 8:...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$75k
...partnering with a telehealth mental health practice and is searching for a Behavioral Health Care Manager (BHCM) to support people... ...health concerns. Experience utilizing evidence-based interventions,... ...~ This role is entirely remote, serving patients nationwide...Remote workFull timeImmediate start3 days per week$55k - $75k
...About Protocol Behavioral Health Protocol provides cancer-specific behavioral... ...the Behavioral Health Care Manager (BHCM) is responsible for... ...training required by Protocol. ~ Utilize between-session messaging as... .... Employees benefit from remote work, competitive healthcare...Remote workFull timeFlexible hours$76k - $89k
UHC Solutions is hiring Behavioral Health Case Manager / Clinical Reviewer in Oregon. This home-based role requires regional travel across Portland... ...focuses on clinical assessments, care coordination, and utilization management to improve access to behavioral health...Remote jobFull timeWork from home- ...DescriptionJob Description:\n\nJob Title: Behavioral Health Care Manager (Complex Care Manager) Employee... ...(office, practice sites, and remote) Compensation: commensurate with licensure... ...close gaps in care, reduce avoidable utilization, and improve outcomes for patients...Remote workFull timeWork at office
$60.52k - $129.62k
...Clinical Case Manager – Behavioral Health (Licensed) 100% Remote | Work from Anywhere in the U.S. | Monday–Friday Business Hours No Weekends | No Holidays... ..., barriers to care, and complex health needs Utilize Motivational Interviewing techniques to engage members...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday- ...JobWe're seeking an exceptional hybrid Behavioral Health (BH) Case Manager to join our Enhanced Care Management... ...What You'll DoHybrid (in-person and remote) care management duties as described... ...care professionals (e.g. PCP, etc.)Utilize evidence-based practices, such as...Remote workImmediate startMonday to FridayAfternoon shift
$62.36k - $74.07k
...,360.00 To $74,070.00 Annually The Behavioral Health Project Manager II will be a key contributor to the... ...Experience working in a Hybrid or remote work environment. 1-3 yrs experience... ...WORK ENVIRONMENT Care Compass Network utilizes a hybrid work model where employees...Remote workWork at officeWork from homeHome office$74.8k - $112.2k
...Behavioral Health Case Mgr – CT08IE We’re determined to make a difference... ...team of Behavioral Health Case Managers who are responsible for the... ...information. They will utilize established clinical guidelines... ...This role can have a Hybrid or Remote work schedule. Candidates...Remote workTemporary workWork experience placementWork at office3 days per week- ...Healthcare Corporate is seeking a clinician to ensure admitted behavioral health patients receive appropriate care and meet medical... ...an RN in GA or LMSW/LCSW, or LPC/LMFT, with experience in Utilization Management and guidelines such as InterQual/MCG. #J-18808-Ljbffr Piedmont...
$67.3k - $85k
Company Overview Acentra Health exists to empower better... ...Health is looking for a Case Manager of Behavioral Health (HRSN) to join our growing... .... *This position is remote. However, applicants must reside... ...the continuum of care. Utilize clinical knowledge and competence...Remote workFull timeContract workWork at officeLocal area$62.4k - $72.8k
...job We're seeking an exceptional Behavioral Health Case Manager (internal title: Clinical Lead Care Manager... ...as possible. What you’ll do Remote care management duties as described... ...professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as Motivational...Remote workFull timeLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift- ...Internal Title: Clinical Lead Care Manager Department: Enhanced Care... ...an exceptional hybrid Behavioral Health (BH) Case Manager to join our... ...ll do Hybrid (in-person and remote) care management duties as described... ...(e.g. PCP, etc.) Utilize evidence-based practices, such...Remote workLocal areaImmediate startMonday to FridayShift workWeekend workAfternoon shift
$89.17k - $142.68k
...Job Description The Sr. Behavioral Health Program Manager State Health Plan (SHP) owns the SHP Behavioral... ...BH) program portfolio including BH Utilization Management Case Management Care... ...giving you flexibility to work remotely with intentional in-person connection...Remote workFull timeWork at officeLocal areaFlexible hours2 days per week$60.52k - $129.62k
...Clinical Case Manager – Behavioral Health (Licensed) We’re building a world of health around every individual... ...to care, and complex health needs Utilize Motivational Interviewing techniques... ...teams Why Join Us? Fully remote position available anywhere in the United...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to Friday- ...Ladders is seeking a Behavioral Health Medical Director to provide medical leadership for utilization management and quality initiatives within a leading Hospitals & Medical Centers space. This remote role partners with clinical teams and quality stakeholders to support...Remote work
- ...Centene Corp. seeks a Behavioral Health Medical Director to lead medical management, quality improvement and credentialing... ...Pacific Time preference is noted. Remote-CA with full-time schedule and... ...described. The role emphasizes utilization review leadership, clinical...Remote workFull timeWeekend work
- Behavioral Health Care Manager I (3rd Shift -After Hours) Join to apply for the Behavioral Health Care... ...Previous experience in case management/utilization management with a broad range of... ...Behavioral Health Care Manager (BHCM) - Remote Florida, United States $59,300.00-$8...Remote workFull timeContract workTemporary workPart timeLocal areaShift workNight shiftWeekend work1 day per week
$105k - $120k
...innovative leaders in pediatric health. One in three American... ...team and lead a growing team of behavioral health providers. You’ll work... ...model. This position is fully remote, with optional in‑person work... ...‑based treatment ~3+ years managing clinical teams, including scheduling...Remote workFlexible hours$150k - $190k
...a state-based mental health practice serving thousands... ...operations, drive utilization, and build a high-performing... ...role reports to VP - Behavioral Health. Description... ...no-shows ~ Manage referral flow from PM... ..., team meetings) and remote work (administrative tasks...Remote workLive inLocal area
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