Remote Behavioral Health UM Clinician
CVS Health
- Remote job
CVS Health is seeking a Behavioral Health Precertification/UM Clinician for a 100% remote role with a Monday–Friday schedule from 12:00 PM to 8:30 PM EST. You will review behavioral health authorization requests, assess medical necessity, and determine appropriate levels of care, focusing on inpatient mental health, detox, and substance use programs. Qualified candidates hold an active Behavioral Health license or an RN with psychiatric experience, plus 1+ year UM experience and 3+ years #J-18808-Ljbffr CVS Health
- CVS Health is hiring a Behavioral Health Precertification/UM Clinician for a 100% remote role, working Monday-Friday 12:00 PM to 8:30 PM EST. You will review behavioral health authorizations, ensure appropriate levels of care, and support timely, evidence-based treatment...Remote jobMonday to Friday
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests and determine medical necessity for behavioral health services. This 100% remote role offers a consistent weekday schedule and focuses on inpatient mental health, detox...Remote jobWeekday work
- Cambia Health Solutions is seeking a licensed Behavioral Health clinician to manage utilization reviews across prospective, concurrent, and retrospective assessments. The role emphasizes applying evidence-based criteria and collaborating with physician advisors to ensure...Remote job
- Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits. You will interpret criteria, communicate with providers and members, and require independent...Remote job
$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly...Remote workPermanent employmentFull timeWork at officeLocal area- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to join our remote team. This full-time role focuses on reviewing authorization requests, applying evidence-based guidelines, and ensuring timely, appropriate care for behavioral health patients. Candidates...Remote jobFull time
- CVS Health is seeking a Behavioral Health Precertification/Utilization Management Clinician for a fully remote, weekday schedule. You will review authorization requests for inpatient mental... ...psychiatric experience, with 1+ year UM/UR and 3+ years inpatient behavioral health...Remote jobWeekday work
- CVS Health is seeking a Behavioral Health Precertification/UM Clinician to review authorization requests, determine medical necessity, and ensure appropriate levels... ...care for behavioral health services. This fully remote role offers a weekday schedule (12:00 PM-8:30 PM...Remote jobWeekday work
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services... ...appropriate 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
$54.1k - $116.76k
...We’re building a world of health around every individual — shaping... ...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM –... ...Behavioral Health Precertification/UM Clinician, you will review...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayWeekday work- CVS Health is seeking a remote Behavioral Health Clinician to provide high-quality mental health care from a home-based setting. This independent, licensed professional will assess, plan, and coordinate care for members with complex behavioral health and substance use...Remote jobWork from home
- ...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
- ...To support a growing behavioral health team, the full-time Licensed Behavioral Health Clinician will perform utilization management reviews, ensuring adherence to medical... ...necessity and policy standards while working remotely within Oregon, Washington, Idaho, or Utah. Key...Remote workFull time
- ...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
- Comagine Health seeks a Clinical Reviewer to assess medical necessity and clinical appropriateness for behavioral health services. The role reviews documentation, conducts utilization... ...required across the Portland area, with a remote, home-based setup in Oregon. Candidate...Remote workWork from home
- ...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 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
- ...Behavioral Health Clinician This position involves managing and evaluating behavioral health conditions remotely within the tri-state area. It requires reviewing medical records, interacting with providers, and ensuring compliance with regulations. Proficiency in general...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$66.71k - $77.56k
...Behavioral Health Crisis Line Clinician Bilingual Join to apply for the Behavioral Health Crisis Line Clinician Bilingual role at Trillium Health... ...Posting Salary Range: $62,712 - $77,564 Office Location: Remote in North Carolina POSTING DETAILS: Make an Impact...Remote workFull timePart timeWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- Optum Behavioral Care in West Nyack, NY is seeking a Behavioral Health Clinician to join a collaborative, care-team based setting embedded in Crystal Run primary care. The... ...offers a hybrid schedule (4 days onsite, 1 day remote) and a $5,000 sign-on bonus for external...Remote workRelocation package
$32.21 - $40.27 per hour
Behavioral Health Clinician (Remote – California License Required) Schedule: Full‐time, 32 hours/week Location: Fully Remote (Must work Pacific Time Zone) Pay Range: $32.21 – $40.27/hr Benefits: Medical, Dental, Vision, 401(k), 13 Paid Holidays, PTO Bilingual:...Remote workFull time- Centene Corporation is seeking a remote Behavioral Health Clinical Reviewer to support Oregon Medicaid. The role conducts clinical reviews for mental health and substance use care, performs prior authorization and concurrent reviews, and collaborates with providers and...Remote job
- ...disability, contact this employer to ask for an accommodation or an alternative application process. Licensed Behavioral Health Clinician Full Time Non-SCA REMOTE Licensed Behavioral Health Clinician – Student Athlete Mental Health Location: Remote/Virtual Schedule:...Remote workFull timeTemporary workMonday to Friday
- 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 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...Remote job
$68k - $75k
...Summary: Intensive In-Home Therapy (IHT) Clinician – Pre-Licensed The Intensive In-... ...Clinician (Pre-Licensed) is a master s-level behavioral health professional working toward independent... ...with telehealth platforms for remote therapy sessions is desirable. Excellent...Remote workWork from homeAfternoon shift- 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
- 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
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