As a Behavioral Health Utilization Management Clinician at Cambia Health Solutions, Inc., you will be part of a team dedicated to providing utilization management services to meet members' specific healthcare needs, promoting quality and cost-effective outcomes. This role involves performing comprehensive utilization management reviews, ensuring adherence to medical necessity and policy standards, and fostering collaboration with interdisciplinary teams. The position offers the opportunity to work from home within Oregon, Washington, Idaho, or Utah, making it ideal for licensed Clinicians with a passion for Utilization Management looking to make a career change.

Behavioral Health Utilization Management Clinician

MRG Exams is seeking a Licensed Psychologist to perform medical assessments on United States Veterans as part of the VA’s disability benefits process. The role involves reviewing behavioral health records electronically, performing comprehensive assessments in person, and completing Disability Benefits Questionnaires. This position does not involve treating or prescribing medication, and the U.S. Veterans Administration makes all disability determinations.

Clinical Psychologist - Hauppauge NY

Clinical Psychologist

The Field-Based Remote Behavioral Health Case Worker at AmeriHealth Caritas is responsible for managing and coordinating care, services, and social determinants of health for members with behavioral health conditions and acute, chronic, and medically complex needs. This role serves as the primary point of contact for the care team, utilizing assessment and communication skills, critical thinking, and clinical knowledge to identify and address issues and barriers to care. The position involves developing care plans, supporting members during care transitions, reviewing medication lists, evaluating and updating care plans, and maintaining accurate documentation.

FIELD-BASED REMOTE | Behavioral Health Case Worker - Serious Mental Illness(Georgetown, SC - Pee Dee Region)

Behavioral Health Case Worker

DW Simpson is seeking an FSA with 5-10 years of healthcare actuarial experience, focusing on behavioral health. The role involves performing analytics of healthcare data, developing reports on technical concepts, and leading a group of actuarial students in projects. Candidates must have knowledge of SAS, SQL, or R.

Actuary - Medicaid (Behavioral Health) - Remote

Actuary - Medicaid (Behavioral Health)

UCHealth (Colorado) is seeking a Clinic Mental Health for a full-time, 0.8 position in Fort Collins, Colorado. This role involves providing top of scope practice in direct patient care to offer behavioral health or mental health care, valuing a multidisciplinary team approach, and contributing to secure safety and quality at the point of care. The position is 100% virtual and requires licensure in Colorado.

Clinic Mental Health - $32-51 per hour

Clinic Mental Health

The Utilization Management Clinician - Behavioral Health at CVS Health is a fully remote role focused on utilizing clinical experience to assess the appropriateness of treatment plans across levels of care, applying evidence-based standards and practice guidelines. This position involves coordinating, monitoring, and evaluating healthcare services/benefits for members, providing triage and crisis support, and facilitating effective discharge planning. The role requires a deep understanding of mental health and substance abuse disorders, with a focus on promoting quality effectiveness of healthcare services and benefit utilization.

Utilization Management Clinician - Behavioral Health

The Field-Based Remote Behavioral Health Case Worker at AmeriHealth Caritas is responsible for managing and coordinating care, services, and social determinants of health for members with behavioral health conditions and acute, chronic, and medically complex needs. This role serves as the primary point of contact for the care team, utilizing strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and barriers to care. The position involves developing care plans, supporting members during transitions of care, reviewing medication lists, and maintaining accurate documentation.

FIELD-BASED REMOTE | Behavioral Health Case Worker - Serious Mental Illness (Orangeburg County, SC)

Phaxis is urgently seeking Behavioral Health Registered Nurses for contract positions in Patchogue, NY. The role involves a 7am-7pm schedule with alternating weekends. The position offers competitive hourly rates and requires certifications in ACLS, BLS, PALS (AHA only), CPI certification, a valid NY RN license, and at least 2 years of experience.

URGENT NEED FOR Behavioral Health RNs

Behavioral Health Registered Nurse

The Utilization Review Clinician - Behavioral Health at Centene Corporation performs a clinical review and assesses care related to mental health and substance abuse. This role involves evaluating member's treatment, performing prior authorization reviews, concurrent review of behavioral health inpatient services, analyzing member data to improve quality and utilization of services, and engaging with medical directors and leadership to enhance care efficiency. The position is remote and available to candidates located and licensed in Kansas.

Utilization Review Clinician - Behavioral Health

The Clinical Case Manager Behavioral Health at CVS Health is responsible for utilizing advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services. This role aims to promote effective utilization of available resources and optimal, cost-effective outcomes. The position is fully remote in the USA, with standard business hours Monday to Friday, no weekends or holidays.

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Clinical Case Manager Behavioral Health

Guideline Healthcare is offering fully remote licensed Therapist / Counselor opportunities, ideal for both full-time and supplemental work. This role focuses on therapy without administrative work, allowing for a flexible schedule with 5-40 hours per week. Therapists will perform their work remotely, as long as they have a reliable internet connection, and will be compensated weekly with a potential first client bonus and a $650 monthly health stipend.

Behavioral Health Counselor - Telehealth

Behavioral Health Counselor

The Senior Medical Director, Behavioral Health in New Mexico supports the clinical vision for the health plan(s) across all lines of business (Medicaid, Medicare, and Commercial) by overseeing service coordination, utilization management, care/case management, population health/disease management, cost of care, health promotion, quality improvement programs, and medical action plans. This role involves leading parity efforts, ensuring compliance with NCQA and/or URAC, analyzing utilization, quality, and financial data, and providing clinical leadership to the Medical Management team. The position requires working outside normal business hours and may involve travel for client meetings.

SENIOR MEDICAL DIRECTOR, BEHAVIORAL HEALTH - NEW MEXICO

Senior Medical Director, Behavioral Health

Planet Healthcare is seeking a travel nurse RN specializing in Behavioral Health for a 13-week travel nursing job in Patchogue, New York. The role involves working 36 hours per week with 12-hour shifts during the day. This position is an opportunity to join a global leader in clinical staffing, known for a candidate-first approach and a wide array of job opportunities across various locations.

Travel Nurse RN - Behavioral Health - $2,520 per week

Travel Nurse RN - Behavioral Health

The Behavioral Health Case Manager, RN at Health Plans, Inc. is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach, determination of case management outcomes, advocacy for health benefit plan options, and ensuring excellent communication among the member, family, and health care team.

Behavioral Health Case Manager, RN (Remote)

Behavioral Health Case Manager, RN

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Behavioral Health Clinician Jobs in North Patchogue, NY Hiring Now

Behavioral Health Utilization Management Clinician

Clinical Psychologist - Hauppauge NY

FIELD-BASED REMOTE | Behavioral Health Case Worker - Serious Mental Illness(Georgetown, SC - Pee Dee Region)

Actuary - Medicaid (Behavioral Health) - Remote

Clinic Mental Health - $32-51 per hour

Clinical Psychologist - Hauppauge NY

Utilization Management Clinician - Behavioral Health

FIELD-BASED REMOTE | Behavioral Health Case Worker - Serious Mental Illness (Orangeburg County, SC)

URGENT NEED FOR Behavioral Health RNs

Utilization Review Clinician - Behavioral Health

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Behavioral Health Counselor - Telehealth

SENIOR MEDICAL DIRECTOR, BEHAVIORAL HEALTH - NEW MEXICO

Travel Nurse RN - Behavioral Health - $2,520 per week

Behavioral Health Case Manager, RN (Remote)