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Full Time Behavioral Health Case Manager Remote Jobs in Florida

A degree in healthcare administration, social science or similar related fields is strongly ... As part of our organization, full-time employees can expect: * Medical, dental, and vision plans ...

About The Role
 Our Behavioral Health Care Managers are the consistent, trusted advocates at the ... This is a fully remote opportunity supporting one or more of our partner practices, working Monday ...

Case Manager

Orlando, FL · Remote

$27 - $33/hr

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Orlando, FL) Pay ... Ensure all phone conversations involving Protected Health Information (PHI) cannot be overheard by ...

Case Manager

Orlando, FL · Remote

$27 - $33/hr

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Orlando, FL) Pay ... Ensure all phone conversations involving Protected Health Information (PHI) cannot be overheard by ...

Medical Case Manager

Lake Mary, FL · On-site +1

$62K - $96K/yr

These are the principles and behaviors that guide how we support and trust one another, build our ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Medical Case Manager

Sarasota, FL · On-site +1

$62K - $96K/yr

These are the principles and behaviors that guide how we support and trust one another, build our ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Case Management RN

Miami, FL · Remote

$32.60 - $42.79/hr

Behavioral Health experience This is an authentic Oscar Health job opportunity. Learn more about ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the ... Familiarity with Salesforce or a similar CRM This is a remote position and Advocate is currently a ...

We are seeking a highly organized and dedicated Case Manager to join Advocate and oversee the ... Familiarity with Salesforce or a similar CRM This is a remote position and Advocate is currently a ...

... health care team. The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License ...

Medical Case Manager

Sarasota, FL · On-site +1

$62K - $96K/yr

These are the principles and behaviors that guide how we support and trust one another, build our ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Case Manager / RN

Lake Mary, FL · On-site +1

$72K - $81K/yr

The Case Manager manages an individual caseload using the case management process in order to meet ... of the health care team. This is a remote/work-from-home position. License Requirements

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Utilization Review Specialist (Remote) - Behavioral Health

Adolescent Wellness Academy

Davie, FL • Remote

Full-time

Posted 8 days ago


Job description

Remote Authorization Specialist

Remote | Full-Time | 9a-5p Monday-Friday | $24-$26/hour

About the Role
This role manages insurance authorization for clients across our PHP and IOP programs - completing pre-certifications, concurrent reviews, verifying benefits, obtaining Single Case Agreements, and managing appeals so that client access to treatment is never disrupted by a payer issue.

Backgrounds that translate well: Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management

What You'll Do

  • Verify benefits and eligibility prior to admission and throughout treatment
  • Complete pre-certifications, concurrent reviews, and re-certifications for PHP/IOP levels of care
  • Obtain Single Case Agreements with out-of-network payers
  • Build the medical necessity case using ASAM, LOCUS, and CALOCUS criteria
  • Prepare and submit appeals on denied authorizations
  • Maintain accurate, audit-ready authorization, denial, and SCA records

What We're Looking For

Required

  • 2+ years of experience as a UR/authorization specialist at the PHP and IOP levels of care for a mental health or substance use facility
  • Working knowledge of ASAM, LOCUS, and CALOCUS criteria and medical necessity standards
  • Strong organizational skills with the ability to manage multiple authorizations and deadlines concurrently
  • Strong familiarity with EMR platforms and authorization software
  • Strong written and verbal communication skills, with the ability to advocate effectively with payers
  • Eligible for DCF and AHCA Level 2 Background Check

Preferred

  • CPT/ICD-10 and DSM-5 familiarity
  • Multi-payer SCA experience
  • Bilingual (English/Spanish)
  • Kipu or similar EMR experience

AWA and PRC are dual behavioral health organizations operating PHP and IOP programs across South Florida. We exist to serve clients and families at their most critical moments - and this role sits at the front door of that mission.


Learn More: Adolescent Wellness Academy Principles Recovery Center

Employment Type: FULL_TIME