The Resource Specialist connects beneficiaries to Federally Qualified Health Centers (FQHCs) and manages referrals while ensuring accurate data entry. This role also involves collaborating with the case management team to optimize service access and track case progression.
Remote Behavioral Health Jobs (1,255)
Tags = behavioral-health
Utilization Review Clinician - ABA 144 APPLICANTS
Centene Corporation
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Full Time
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40 Weeks Ago
Centene Corporation
The Utilization Review Clinician performs reviews of members' care and health status related to Applied Behavioral Analysis (ABA) services to determine medical appropriateness. They monitor clinical effectiveness and efficiency of care in accordance with ABA guidelines and provide education to members and their families regarding the utilization process.
Agile Technical Product Owner Senior Advisor– SAP Extended Warehouse Management (EWM/RTS)
Cigna Healthcare
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Full Time
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40 Weeks Ago
Cigna Healthcare
As the Agile TPO Advisor for SAP EWM/RTS, you will own the product vision, roadmap, and delivery strategy for warehouse and logistics operations. You will work closely with business stakeholders, SAP functional experts, and development teams to deliver scalable, integrated solutions that support strategic supply chain initiatives.
The Behavioral Health Care Manager I conducts utilization management reviews for mental health and substance use disorder benefits. This includes assessing member needs and coordinating care to promote quality outcomes and effective use of health benefits.
Care Management Coordinator OhioRISE – Field – Must reside West Region of Ohio
CVS Health
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Full Time
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40 Weeks Ago
CVS Health
The Care Management Coordinator collaborates and informs the case management process to facilitate appropriate healthcare outcomes for members. This includes conducting comprehensive evaluations, coordinating care plans, and monitoring progress to ensure quality of care.
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The part-time Psychiatrist will review patient intake assessments and conduct telehealth evaluations to assess work-function impairment related to behavioral health conditions. They will also complete and certify Short-term disability forms while coordinating with clinicians and care coordinators.
The part-time Psychiatrist will review patient intake assessments, conduct telehealth evaluations, and complete Short-term Disability forms. They will coordinate with clinicians and care coordinators to support patients’ disability leave while ensuring compliance with medical policies.
Utilization Review Clinician - Behavioral Health 46 APPLICANTS
Centene Corporation
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Full Time
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40 Weeks Ago
Centene Corporation
The Utilization Review Clinician performs clinical reviews and assesses care related to mental health and substance abuse. They monitor and determine the appropriateness of care levels and services, ensuring they meet medical guidelines.
The Collections Specialist is responsible for providing accounts receivable management, including timely insurance account follow-up. This role involves recording receivable activities and resolving account discrepancies to ensure timely reimbursement.
Fellows will spend approximately 20 hours per week building their independent ABA clinic, including training, mentoring, and business setup. They will engage in weekly group sessions and utilize the Frontera platform to integrate AI solutions into their workflows.
Fellows will spend approximately 20 hours per week building their independent ABA clinic, engaging in training sessions, mentoring calls, and business setup. They will utilize the Frontera platform and collaborate with other fellows to grow service access for children with autism.
Fellows will spend approximately 20 hours per week building their independent ABA clinic, engaging in training sessions, mentoring calls, and business setup. They will utilize the Frontera platform and collaborate with other fellows to grow service access to children with autism.
Care Management Associate - OhioRISE - Must live in Ohio 16 APPLICANTS
CVS Health
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Full Time
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40 Weeks Ago
CVS Health
The Care Management Associate will interface with various groups providing care coordination services for eligible children and young adults receiving Medicaid services in Ohio. They will handle administrative tasks, including managing inbound care management inquiries and processing referrals.
Care Transitions Nurse - Atrium Remote PT Weekends 8a-8:30p 11 APPLICANTS
American Addiction Centers
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Full Time
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40 Weeks Ago
American Addiction Centers
The Care Transitions Nurse facilitates a proactive partnership with patients to manage their health-related needs. They assess, plan, coordinate, and evaluate services to empower individuals and their families in accessing resources and adopting healthy lifestyles.
The clinician serves as a clinical co-manager on behavioral health claims, providing expertise in analyzing clinical information and negotiating return-to-work plans. They also review and evaluate disability claims to determine the level of functioning based on behavioral health conditions.
Clinical Services and Operations Manager
Backpack Healthcare
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Full Time
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40 Weeks Ago
Backpack Healthcare
The Manager of Clinical Services and Operations provides operational leadership for clinical teams, ensuring high-quality and compliant care. This role involves overseeing program implementation, monitoring KPIs, and driving continuous improvement initiatives.
Senior Provider Relations Advocate - Remote - Middle, TN 12 APPLICANTS
UnitedHealth Group
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Full Time
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40 Weeks Ago
UnitedHealth Group
Oversee performance of end-to-end provider servicing and resolve complex problems. Drive the design and implementation of programs that build positive relationships between the health plan, providers, and practice managers.
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Lead Boulder’s payer partnerships and ensure flawless implementation and performance of contracts. Deliver a seamless, data-driven partner experience grounded in operational excellence and measurable outcomes.
Care Management Coordinator OhioRISE Central/SE Ohio region
CVS Health
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Full Time
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41 Weeks Ago
CVS Health
The Care Management Coordinator collaborates with various stakeholders to facilitate healthcare outcomes for members by providing care coordination, support, and education. They conduct comprehensive evaluations of members' needs and implement care plans while monitoring progress.
As a Geode Health Behavioral Health Therapist, you will diagnose and treat mental health disorders and provide psychotherapy across a spectrum of mental healthcare conditions. You will collaborate with other healthcare professionals to provide care coordination and crisis intervention when needed.
The Care Connector serves as the primary contact for the Special Needs Unit, assisting in resolving patient/member concerns and providing education and support. They manage crisis situations and advocate for patients/members who are unable to communicate effectively with service delivery systems.
Telehealth Nurse Practitioner or Physician Assistant (Remote) - New York License 54 APPLICANTS
Ophelia
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Full Time
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41 Weeks Ago
Ophelia
As an Advanced Practice Practitioner, you will provide clinical care to patients receiving medication for opioid use disorder and a narrow suite of mental health conditions. You will determine individualized treatment plans, conduct behavioral health evaluations, and monitor medication management for patients.
Telehealth Nurse Practitioner or Physician Assistant (Remote) - New Jersey License
Ophelia
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Full Time
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41 Weeks Ago
Ophelia
As an Advanced Practice Practitioner, you will provide clinical care to patients receiving medication for opioid use disorder and a narrow suite of mental health conditions. You will work closely with other clinicians to deliver compassionate, evidence-based treatment and ensure patients receive appropriate care as their needs evolve.
The Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse treatment through telephonic or written review. This role involves assessing member needs, coordinating care, and promoting effective use of health benefits.
Design and implement instructional strategies that support learning and performance for providers, caregivers, and external stakeholders. Oversee maintenance of training resources and support sites while developing instruments to assess individual change in knowledge and skills.
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