Strong understanding of medical necessity, utilization management, healthcare reimbursement, and ... Review cases for Physician Advisor escalation when appropriate * Collaborate with physicians, case ...
Quick apply
Strong understanding of medical necessity, utilization management, healthcare reimbursement, and ... Review cases for Physician Advisor escalation when appropriate * Collaborate with physicians, case ...
Quick apply
Strong understanding of medical necessity, utilization management, healthcare reimbursement, and ... Review cases for Physician Advisor escalation when appropriate * Collaborate with physicians, case ...
Perform Utilization Review and Utilization Management activities in a provider-side healthcare environment. * Review clinical documentation to determine medical necessity and appropriate levels of ...
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Perform Utilization Review and Utilization Management activities in a provider-side healthcare environment. * Review clinical documentation to determine medical necessity and appropriate levels of ...
... behavioral health, home health, and hospice services while considering member co-morbid conditions. * Review referral and preauthorization requests for appropriateness of care within established ...
... behavioral health, home health, and hospice services while considering member co-morbid conditions. * Review referral and preauthorization requests for appropriateness of care within established ...
Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side required) * Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years ...
Quick apply
Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side required) * Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years ...
Sunrise, FL ยท Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Sunrise, FL ยท Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Sunrise, FL ยท On-site
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Sunrise, FL ยท On-site
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Boynton Beach, FL ยท On-site
$16 - $18/hr
Overnight Shift Education: * High school or equivalent Experience: * Behavioral health: 1 year (Preferred) License/Certification: * Driver's License (Required) Work Location: In person
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Boynton Beach, FL ยท On-site
$16 - $18/hr
Overnight Shift Education: * High school or equivalent Experience: * Behavioral health: 1 year (Preferred) License/Certification: * Driver's License (Required) Work Location: In person
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Fort Lauderdale, FL ยท On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Fort Lauderdale, FL ยท On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Fort Lauderdale, FL ยท On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Fort Lauderdale, FL ยท On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Boynton Beach, FL ยท On-site
$16 - $19.75/hr
In this role, you'll collaborate closely with our Admissions and Utilization Review departments ... Behavioral Health. * Dental and vision coverage. * Paid time off.
Boynton Beach, FL ยท On-site
$16 - $19.75/hr
In this role, you'll collaborate closely with our Admissions and Utilization Review departments ... Behavioral Health. * Dental and vision coverage. * Paid time off.
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
West Palm Beach, FL ยท On-site
$15.75 - $19.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
West Palm Beach, FL ยท On-site
$15.75 - $19.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
West Palm Beach, FL ยท On-site
$15.75 - $19.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
West Palm Beach, FL ยท On-site
$15.75 - $19.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Quick apply
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Belle Glade, FL ยท On-site
$15 - $18.25/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
Quick apply
Lake Worth, FL ยท On-site
$14.50 - $17.75/hr
Manage the phone line during weekend, evening, overnight, or other assigned shifts and communicate ... Behavioral Health Technician (BHT) certification or an associate degree in behavioral health ...
$20.30 - $24.41
2% of jobs
$24.41 - $28.51
9% of jobs
$31.32 is the 25th percentile. Wages below this are outliers.
$28.51 - $32.62
21% of jobs
The median wage is $35.94 / hr.
$32.62 - $36.73
23% of jobs
$36.73 - $40.83
13% of jobs
$44.03 is the 75th percentile. Wages above this are outliers.
$40.83 - $44.94
10% of jobs
$44.94 - $49.05
8% of jobs
$49.05 - $53.15
5% of jobs
$53.15 - $57.26
5% of jobs
$57.26 - $61.36
2% of jobs
$61.36 - $65.47
2% of jobs
$20
$40
$65
The most popular types of Behavioral Health Utilization Review jobs in Boca Raton, FL are:
Cities near Boca Raton, FL with the most Overnight Behavioral Health Utilization Review job openings:

Full-time
Re-posted 20 days ago
Quick Job Details:
Setting: Fully Remote – Utilization Review
Schedule: Full-Time, Monday–Friday
Hours: Standard business hours
Patient Volume: N/A
Job Requirements:
Responsibilities:
Compensation: Competitive; based on experience
Benefits: Comprehensive benefits package
About Us:
HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.
Our Promise:
If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!
The HealthPlus Team
Sourced by ZipRecruiter
Recruiting and staffing services
11 - 50 Employees
Boynton Beach, FL, US
2019