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Keywords: Behavioral Health Clinical Reviewer, Location: USA

Page: 1

Utilization Reviewer PRN-Behavioral Health Services

PRN-Behavioral Health Services Location Remote work from Illinois, Wisconsin, Indiana, and Iowa Business Unit Central... RN. Behavioral Health experience Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity...

Location: Chicago, IL
Posted Date: 08 Nov 2025

Behavioral Health Utilization Management Reviewer

Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer... to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management...

Location: USA
Posted Date: 23 Oct 2025

Behavioral Health Utilization Management Reviewer

Role Overview: Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer... to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management...

Location: USA
Posted Date: 22 Oct 2025

After Hours Behavioral Health Utilization Management Reviewer

Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non... in Social Work. Registered Nurse candidates must have a minimum of 5 years of clinical practice experience in behavioral health...

Location: USA
Posted Date: 30 Sep 2025

Senior Quality Clinical Reviewer - BH - Remote, NM

Seeking candidates with RN//or behavioral health license in the State of New Mexico and Psychiatric/Behavioral Health... Reviewer - BH - Remote, NM Grade 26 Work Experience - Required Clinical Work Experience - Preferred Quality Education...

Company: Magellan Health
Location: Albuquerque, NM
Posted Date: 07 Nov 2025
Salary: $70715 per year

Remote Clinical Psychologist Reviewer

Responsibilities for Remote Clinical Psychologist Reviewer: Review and assess behavioral health service requests for medical necessity...Remote Clinical Psychologist Reviewer Location: Remote - Florida We're seeking experienced and compassionate...

Location: Tampa, FL
Posted Date: 19 Oct 2025
Salary: $86000 - 154700 per year

Remote Clinical Psychologist Reviewer

Responsibilities for Remote Clinical Psychologist Reviewer: Review and assess behavioral health service requests for medical necessity...Remote Clinical Psychologist Reviewer Location: Remote - Indiana, Georgia, North Carolina, Pennsylvania, Michigan...

Location: Roswell, GA
Posted Date: 18 Oct 2025
Salary: $86000 - 154700 per year

Clinical Appeals Reviewer

Role Overview: The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones... and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www...

Posted Date: 14 Oct 2025

Nurse Reviewer - Clinical Review Unit

. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health.... Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate...

Posted Date: 09 Sep 2025

Clinical Records Reviewer (OIDD) - Repost

About Our Agency The South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD... Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities...

Posted Date: 31 Oct 2025
Salary: $61801 - 64801 per year

Research Investigator II - Behavioral & Mental Health

Research Investigator II - Behavioral & Mental Health Research Investigator II - Behavioral & Mental Health will work... expertise and funding in Behavioral and Mental Health. This includes a background in mental health services research...

Location: Aurora, CO
Posted Date: 01 Nov 2025

Care Plan Reviewer- OhioRISE

issues. o Using advanced clinical skills, review crisis and safety plans for members experiencing a behavioral health... comprehensive member needs. Required Qualifications · Unencumbered Behavioral Health clinical license in Ohio is required (LMFT...

Company: CVS Health
Location: Ohio
Posted Date: 04 Nov 2025
Salary: $54095 - 116760 per year

Psychologist Reviewer - North Carolina

, Capabilities & Experiences: Minimum of 2 years’ experience in a Behavioral Health/Clinical setting preferred. ABA experience.... How you will make an impact: Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate...

Company: Elevance Health
Location: Durham, NC
Posted Date: 22 Oct 2025

Governmental Audit Reviewers (RN)

of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external.... This position is remote. Responsibilities Conducts thorough clinical review of Home Health, Hospice, Community Based Services...

Company: LHC Group
Location: Baton Rouge, LA
Posted Date: 08 Nov 2025

Governmental Audit Reviewers (RN)

of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external.... This position is remote. Responsibilities Conducts thorough clinical review of Home Health, Hospice, Community Based Services...

Company: LHC Group
Location: Lake Charles, LA
Posted Date: 08 Nov 2025

Psychologist Reviewer

, evidence-based behavioral health care Support Louisiana to ensure clinical excellence and adherence to best practices...-driven team and make a meaningful impact on the lives of individuals receiving outpatient behavioral health care in Louisiana...

Company: Centene
Location: USA
Posted Date: 08 Nov 2025
Salary: $86000 - 154700 per year

Governmental Audit Reviewers (RN)

of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external.... Responsibilities Conducts thorough clinical review of Home Health, Hospice, Community Based Services, and LTACH documentation...

Company: LHC Group
Location: Shreveport, LA
Posted Date: 08 Nov 2025

Governmental Audit Reviewers (RN)

of clinical documentation associated with home health, hospice, LTACHs, and community based services, in response to external.... Responsibilities Conducts thorough clinical review of Home Health, Hospice, Community Based Services, and LTACH documentation...

Company: LHC Group
Location: Lafayette, LA
Posted Date: 17 Oct 2025

Utilization Reviewer

about making a meaningful impact in both clinical and behavioral health? Our department stands out for its innovative, patient... future of behavioral health care. Job Description Location: Largo, MD - Onsite Hours: 8am- 4:30pm, rotating weekends...

Posted Date: 27 Sep 2025

Long Term Services & Support Reviewer Utilization Management

management and specialty pharmacy services, behavioral health services, and other administrative services. Discover... assessment knowledge and health care/social services licensure experience, the Reviewer reviews the Service Coordinator...

Location: USA
Posted Date: 20 Sep 2025