Arkansas Remote Behavioral Health Clinical Review Specialist
Comunidade Metodista
Acentra Health is seeking a Clinical Reviewer licensed in Arkansas to join our remote team serving the Arkansas Behavioral Health program. You will review medical records, perform prior authorization and retrospective reviews, and collaborate with Clinical Director to ensure medical necessity and compliance.
Qualified candidates hold an active Arkansas license in Social Work, Counseling, or Psychology, with 2+ years in behavioral health and UR/UM experience.
#J-18808-LjbffrVacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Arkansas Remote Behavioral Health Clinical Review Specialist in Arkansas vacancy
$28.37 - $39.19 per hour
...Acentra Health exists to empower better health outcomes... ..., services, and clinical expertise. Our mission... ...looking for a Clinical Reviewer - Arkansas Behavioral Health License (Remote within Arkansas) to join... ...Assists Provider Relations Specialist with program-specific education...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursComunidade Metodista
Arkansas1 hour ago- ...organization in Maine is seeking a Clinical Specialist to provide clinical... ...have at least two years of behavioral health experience and must possess... ...license in Maine. This role is remote and requires strong... ...conducting medical necessity reviews and ensuring effective program...Remote work
Community Health Options
Maine1 hour ago - ...Position Summary The Clinical Specialist reports to the... ...support of Community Health Options Medical Management... ...complex medical and behavioral health presentations.... ...performing medical necessity reviews for appropriateness... ...medical services. Remote work is required....Remote workWork at officeLocal areaHome officeFlexible hours
Community Health Options
Maine1 hour ago - ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity, conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals...Remote workWork from home
Comagine.org
United States2 days ago - As a Behavioral Support Clinical Specialist , you won't just be writing plans—youll be directly... ...Quality & Advocacy: Review behavioral plans across the... ...Pay Mileage Reimbursement Health Insurance/Vision and Dental benefits Paid time off Remote hybrid flexibility after an...Remote workDaily paidRelocation packageFlexible hours
- A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation processes for community-based programs... ...in quality assurance. This role is fully remote, allowing candidates from anywhere in the...Remote workPart time
Accreditation Commission for Health Care (ACHC)
New York, NY2 days ago - ...Description Valcore Health • Growing Rural Opportunities... ...E.1 Reports To Clinical Nurse Coordinator or... ..., organized access to behavioral-health and addiction... ...site-, telehealth-, and remote-patient-monitoring-... ...with quality-improvement reviews and implement...Remote workContract workImmediate startWork from home
Valcore Recover
New Albany, IN27 days ago - OpenTrain AI, Inc. is seeking a physician or medical professional to review and improve healthcare AI training data. You will analyze clinical cases and medical content to ensure accuracy and relevancy. This remote contractor role is part-time (#J-18808-LjbffrRemote workPart timeFor contractors
OpenTrain AI, Inc.
Kentucky1 hour ago - ...professionals to join our telework team as 1099 independent contractors in the field of Physical Medicine & Rehabilitation. You will review clinical cases, prepare clinical summaries, and participate in peer communications, with an initial 1-year term. This part-time role...Remote jobPart timeFor contractors
- ...accrediting organization is looking for a Full-time Clinical Review Specialist who will support the accreditation process for community health programs, including Home Health and... ...skills and the ability to work remotely are essential. Traveling 15-20% will be required...Remote jobFull time
$72.8k - $130k
...Payment Integrity Clinical Review Specialist Optum is a global organization that delivers care, aided... ...with our team will directly improve health outcomes by connecting people with... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Centene Corporation seeks a Behavioral Health Utilization Review professional to perform clinical reviews and assess the appropriateness of mental health and substance use services. This fully remote role supports Ambetter / Marketplace, reviewing requests for inpatient...Remote work
Centene Corporation
United States2 days ago - AuraOne is seeking a Medical Revenue Manager to remotely evaluate AI outputs touching clinical review. You will review clinical reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected reasoning to help close gaps in modeling....Remote job
- ...Centene Corp. is seeking an Utilization Review Clinician - Behavioral Health to conduct clinical reviews for mental health and substance use services, ensuring... ...appropriate level of care for Oregon Medicaid in a fully remote role. The position follows a Monday–Friday 8–5...Remote workMonday to Friday
Centene Corporation
Eastern, KY1 day ago $86.8k - $115k
...development. Summary The Clinical Policy Specialist – Itemized Bill Review is responsible for the development... ...required, Bachelor's degree preferred (health administration, business, nursing)... ...should expect in this role ~ Remote opportunity within the U.S....Remote workFull timeFlexible hoursGainwell Technologies LLC
Texas9 days ago- AI Trainer Jobs is seeking an Emergency Response Specialist for a remote clinical-review track evaluating AI outputs touching clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document corrected...Remote job
$75 - $110 per hour
AuraOne seeks Clinical Review contractors to evaluate AI outputs in Travel, Hospitality & Culinary Expert track. Work remote with US eligibility; hourly pay between $75 and $110 and contractor arrangement. You will review and document corrected reasoning to support model...Remote jobHourly payFor contractors10 hours per week- ...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
Centene Corporation
Brooklyn, NY5 days ago - ...seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on... ...organizations, and collaborating with clinical teams. The ideal candidate has prior utilization review or behavioral health experience, strong knowledge of payer...Remote workPart timeWeekend work
Recovery Unplugged
United States5 days ago - Acentra Health is seeking a Clinical Review Advisor to join our remote US team. You will review medical records, prepare cases for physician review, and ensure timely, accurate medical necessity determinations per MCC policies. Requirements include an active RN license...Remote jobHome office
- ...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...Remote workFull timeDay shift
Centene Corporation
Salem, OR1 day ago $122.11k - $277.83k
...section visibility Onsite or Remote Fully On-Site Work Schedule... ...role within an award-winning health system. Help improve patient experiences... ...leadership, residents, clinical staff, and administrative/... ...data and event monitoring, peer review coordination, education, and facilitation...Remote workWork at officeMonday to Friday$105 per hour
...Compensation: $105/hour Location: Remote Role Responsibilities... ...authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess... ...physician office, hospital, or health plan prior authorisation...Remote workContract workSummer workWork at officeMercor
Nashville, TN15 days ago- ...authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits,... ...necessity criteria while working remotely. Key responsibilities... ...Collaborate with clinical teams to support continuity...Remote workFull time
Virtual Vocations Inc
United States2 days ago - ...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
Centene Corporation
Wakeeney, KS1 hour ago - ...Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and... ...abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven care...Remote work
Centene
California, MO1 hour ago - ...Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas. Review clinical documentation to determine medical necessity and coordinate in-home and community-based care for...Remote workWork from home
Comagine Health
United States12 hours ago - ...Centene Corporation offers a fully remote role focused on reviewing behavioral health authorizations for inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm Eastern or Central, with preference for candidates in...Remote workMonday to Friday
Centene Corporation
Nevada, IA1 hour ago - ...Optum is recruiting a remote Behavioral Health Utilization Review Specialist to support case management for behavioral health and substance use. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. This...Remote workFull timeMonday to Friday
Optum
Tucson, AZ1 hour ago - Centene is seeking an Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while collaborating with providers to determine appropriate...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Arkansas Remote Behavioral Health Clinical Review Specialist. Be the first to apply!
Related searches
- senior devops engineer remote Arkansas
- remote .net full stack web developer Arkansas
- clinical data coordinator remote Arkansas
- pmp - project manager - remote Arkansas
- part time project manager remote Arkansas
- junior project manager remote Arkansas
- web developer internship remote Arkansas
- remote weekend Arkansas
- remote travel jobs Arkansas
- remote from anywhere Arkansas