Remote Utilization Review Clinician - Mental Health & SUD
Centene Corporation
Louisiana, MO
- Remote job
Centene Corporation is seeking a clinician to perform clinical reviews and assess care for mental health and substance use services. The role supports level of care decisions, prior authorization, and discharge planning while collaborating with BH teams to ensure appropriate utilization and quality outcomes. The ideal candidate will have a nursing degree (or higher) with 2–4 years of related experience and relevant state licensure. #J-18808-Ljbffr Centene Corporation
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Clinician - Mental Health & SUD in Louisiana, MO vacancy
$27.02 - $48.55 per hour
...: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors... ...flexibility to work remotely from their home... ...quality and appropriate utilization of services Provides... ...for behavioral health clinicians required. Clinical knowledge...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Austin, TX5 days ago- Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, determine medical necessity, and support appropriate utilization. Remote work within the Central Time Zone is available with a Monday-Friday 8am-5pm schedule and occasional...Remote jobMonday to Friday
$80.47k - $94.55k
UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a... ...review and assesses care related to mental health and substance abuse. Monitors...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hours- Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and concurrent BH... ...appropriate and coordinates with providers and families. This remote position supports working from home anywhere in the...Remote jobWork from homeWeekday work
- Centene Corporation is seeking a Behavioral Health Reviewer to assess and authorize mental health and substance abuse care across the care continuum. The... ...relevant licensure; master’s degree for behavioral health clinicians is preferred. #J-18808-Ljbffr Centene CorporationRemote job
- ...organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates...Remote jobFlexible hours
$1,966 per week
...in personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...States where employed. For mental health/substance abuse,...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...to support behavioral health and substance abuse case management through utilization reviews and care coordination.... ...time. This is a fully remote position with a Monday... ...with dual diagnosis (SUD and behavioral health)... ...populations and/or community mental health Experience...Remote workMonday to Friday
Optum
Tucson, AZ3 days ago - ...Centene is seeking an Inpatient Utilization Review Clinician for Behavioral Health to perform clinical reviews and assessments ensuring appropriate care for... ...coordination of care across providers. The position offers remote flexibility with a 8am–5pm schedule on days (Tuesday-...Remote workWeekend work
IntelliResume
Louisiana, MO14 hours ago - Centene Management Company LLC is seeking a remote Utilization Review Clinician - Behavioral Health to support our Behavioral Health Medicare Plan. You will perform medical necessity reviews and authorization determinations to help ensure members receive appropriate, high...Remote jobMonday to Friday
- Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental health and substance use services. This remote role may require on-site travel to Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care...Remote jobFull time
- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible...Remote jobWork from homeMonday to Friday
- Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate...Remote job
- ...Utilization Review Specialist Remote, United States About the Role The purpose of this position is... ...eager to take on the challenge of the mental health crisis and play a formative role... ...Psychologist). Master's-Level Clinicians: LCSW, LMFT, LPC, or LCPC. ~...Remote work
Charlie Health
United States5 days ago - A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
- ...Utilization Review Clinician Clarity Clinic is an interdisciplinary private practice bringing together... ...the whole person toward clarity and mental wellness through exceptional,... ...what accessible, comprehensive mental health care looks like. The Utilization Review...Fixed term contractPrivate practice
- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States4 days ago $219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home...Remote jobWork from home- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels... ...Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable). InterQual...Remote work
3B Healthcare, Inc.
United States2 days ago - ...R1 RCM is seeking an experienced Utilization Review Author (RN) for our Physician Advisory Team. The role involves first-level admission and continued stay reviews using InterQual/MCG criteria and requires hospital-based UR or Case Management experience. The position...Remote workFlexible hours
R1 RCM
Nashville, TN4 days ago $65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30... ...? No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend workPacer Group
United States2 days ago$1,949.74 per month
...Details Client Name Providence Health and Services Job Type Travel... ...Registered Nurse Specialty Utilization Review Job ID 17979666 Job... ...3 Week(s) Job Description Remote Utilization Review RN responsible for concurrent...Remote workWeekly payShift workProvidence Health and Services
Eureka, CA1 day ago- ...Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote work
Ascension
Milton, FL4 days ago - ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
AMN Healthcare
United States3 days ago - ...Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases, collaborating with interdisciplinary teams, and utilizing Epic and InterQual...Remote workWeekly pay
Slate Healthcare
United States1 day ago - ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
HealthHelp
Houston, TX2 days ago $78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges... ...vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a...Remote workFull timeContract workWork at officeWork from homeFlexible hoursGainwell Technologies
United States3 days ago- Centene Corporation is seeking a clinical review professional to support the Kentucky market in a fully remote capacity. The role involves inpatient behavioral health precertification reviews, with first, second, and third shift options and training on a Monday-Friday...Remote jobMonday to FridayAfternoon shift
- ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details...Remote workContract workTemporary workLocal areaShift work
Hired by Matrix
United States2 days ago - ...2 years' experience in hospital, home health, or hospice care. Clinical assessment... ...: Experience in Utilization Review or case management roles. Specialty... ...Strong ability to work independently in remote settings. Must be able to handle fast...Remote workFlexible hours
vTech Solution
Santa Rosa, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Clinician - Mental Health & SUD. Be the first to apply!
Related searches
- clinician Louisiana, MO
- licensed mental health clinician Louisiana, MO
- intake clinician Louisiana, MO
- mental health clinician Louisiana, MO
- outpatient clinician Louisiana, MO
- school based clinician Louisiana, MO
- crisis clinician Louisiana, MO
- senior network engineer remote Louisiana, MO
- remote legal intern Louisiana, MO
- remote customer service chat Louisiana, MO