Back to all roles

[Hiring] Utilization Management – Registered Nurse or Behavioral Health Clinician @reputed company

Remote Worldwide Hiring now

Role Description This is an after hours work at home position. Must work the below schedule:

  • Thursday and Friday 3pm-1am MT
  • Saturday and reputed company 11am-9pm MT

Must be reputed company to work Holidays. There will be a 12.5% differential for this shift. Utilizes clinical skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program for preauthorization for mental health services. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus reputed company a call center setting.

Qualifications

  • 3+ years of post clinical licensure experience in behavioral health
  • 3+ years knowledge of mental health and substance abuse disorders
  • Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reputed company in (one or more or equivalent is required: LPC, LMFT, LCSW, LMHC, LCMHC, LICSW, LISW, Clinical Psychologist or RN)
  • Required to use a residential broadband service with internet speeds of at least 25 mbps/3mbps in order to ensure sufficient speed to adequately reputed company work duties
  • Must be reputed company to talk on the telephone and type at the same time, this is a queue based job

Requirements

  • Direct clinical experience in a hospital setting or prior Utilization Management experience (preferred)
  • If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health or Psychology
  • If BH-licensed, Masters degree in reputed company Work, Counseling, Psychology required

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility

Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Utilization Review Registered Nurse

Remote Worldwide
View role

Medical Director,Utilization Management

Remote Worldwide
View role

Utilization Management Physician Reviewer

Remote Worldwide
View role

PRN OASIS and Utilization Review Nurse, FL

Remote Worldwide
View role

Clinical Care Manager

Remote Worldwide
View role

Prior Authorization Specialist / Remote

Remote Worldwide
View role

[Hiring] Utilization Review Nurse @Johns Hopkins Medical Management Corporation

Remote Worldwide
View role

ABA Authorization Specialist

Remote Worldwide
View role

Pharmacy Prior Authorization Agent-Specialty

Remote Worldwide
View role

Senior RN Clinical Review Nurse - Prior Authorization

Remote Worldwide
View role

reputed company Full Stack Data Engineer – reputed company Data Warehouse Development and Data Science

Remote Worldwide
View role

reputed company Research Internship - Summer 2026 (Remote, USA)

Remote Worldwide
View role

[Remote] Inside Sales Consultant

Remote Worldwide
View role

Associate Director, Global Clinical Operations, Cross Therapeutic Area – Western U.S in San Diego, CA

Remote Worldwide
View role

reputed company Remote Data Entry Specialist and Research Panelist – Flexible Work Arrangements at arenaflex

Remote Worldwide
View role

Freelance Polish reputed company Specialist (Poland)

Remote Worldwide
View role

Avionics Production Engineer

Remote Worldwide
View role

Machine Learning Manager, Fincrime

Remote Worldwide
View role

Remote arenaflex Customer Service Representative – Home‑Based Support Specialist – $22/hr – Full‑Time

Remote Worldwide
View role

reputed company Student Loan Advisor – Customer Contact Center Representative (Work from Home after 90 days)

Remote Worldwide
View role