Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management What ... FULL_TIME
Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management What ... FULL_TIME
Executive Case Manager (Remote)
Orlando, FL · On-site +1
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 ...
Executive Case Manager (Remote)
Orlando, FL · On-site +1
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 ...
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 ...
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 ...
Behavioral Health Care Manager
Orlando, FL · Remote
$60K - $70K/yr
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 ...
Quick apply
Behavioral Health Care Manager
Orlando, FL · Remote
$60K - $70K/yr
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 ...
Engage specialty resources as needed to achieve optimal resolution (behavioral health program ... Employment Type: FULL_TIME
Engage specialty resources as needed to achieve optimal resolution (behavioral health program ... Employment Type: FULL_TIME
This position is remote in Florida or Georgia. * Uses clinical/nursing skills to determine whether ... Engage specialty resources as needed to achieve optimal resolution (behavioral health program ...
This position is remote in Florida or Georgia. * Uses clinical/nursing skills to determine whether ... Engage specialty resources as needed to achieve optimal resolution (behavioral health program ...
Case Manager/Social Worker
Miami Beach, FL · Remote
$21.50 - $28.25/hr
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... Will be working remote when not in the field. 80% field, 20% remote Manages 60-80 patients per ...
Case Manager/Social Worker
Miami Beach, FL · Remote
$21.50 - $28.25/hr
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... Will be working remote when not in the field. 80% field, 20% remote Manages 60-80 patients per ...
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 ...
Quick apply
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 ...
Quick apply
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
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 ...
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 ...
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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 ...
REMOTE CASE MANAGER - INTEGRATED CARE. LOCATION: FORT LAUDERDALE, FL. 33304. DURATION: 6+ MONTHS. LICENSE: LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR'S DEGREE. ALL OF OTHER LICENSES REQUIRES A ...
REMOTE CASE MANAGER - INTEGRATED CARE. LOCATION: FORT LAUDERDALE, FL. 33304. DURATION: 6+ MONTHS. LICENSE: LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR'S DEGREE. ALL OF OTHER LICENSES REQUIRES A ...
SSDI Case Manager
Orlando, FL · On-site +1
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 ...
SSDI Case Manager
Orlando, FL · On-site +1
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 ...
SSDI Case Manager
Orlando, FL · Remote
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 ...
SSDI Case Manager
Orlando, FL · Remote
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 ...
Case Manager Assistant / LPN
Lake Mary, FL · On-site +1
$23 - $27/hr
... 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 ...
Case Manager Assistant / LPN
Lake Mary, FL · On-site +1
$23 - $27/hr
... 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 ...
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
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
Telephonic Case Manager I
Orlando, FL · Remote
$63K - $95K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to ... health care providers, the employer, and the referral source * Provide assessment, planning ...
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Telephonic Case Manager I
Orlando, FL · Remote
$63K - $95K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to ... health care providers, the employer, and the referral source * Provide assessment, planning ...
Care Manager (BH Licensed) LCSW, LMHC, LMFT, LMSW
Fort Lauderdale, FL · Remote
$26 - $42/hr
Essential Job Duties • Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on ...
Care Manager (BH Licensed) LCSW, LMHC, LMFT, LMSW
Fort Lauderdale, FL · Remote
$26 - $42/hr
Essential Job Duties • Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on ...
Full Time Behavioral Health Case Manager Remote information
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Utilization Review Specialist (Remote) - Behavioral Health
Davie, FL • Remote
Full-time
Posted 8 days ago
Job description
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