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Remote Behavioral Health Utilization Review Jobs in Iowa

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... behavior change through our Health Coaching and Condition Management programs.

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Provide telephonic case management and utilization review for assigned consumers. * Develop ... behavior change through our Health Coaching and Condition Management programs.

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Remote Behavioral Health Utilization Review information

What is a Remote Behavioral Health Utilization Review job?

A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Remote Behavioral Health Utilization Review position, and why are they important?

To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.

What are the typical daily responsibilities for someone working in Remote Behavioral Health Utilization Review?

In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.

What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Iowa? For Remote Behavioral Health Utilization Review jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Remote Behavioral Health Utilization Review jobs in Iowa look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Iowa are:
What cities in Iowa are hiring for Remote Behavioral Health Utilization Review jobs? Cities in Iowa with the most Remote Behavioral Health Utilization Review job openings:
Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Remote Behavioral Health Utilization Review job openings in Iowa as of July 2026, with employment types broken down into 2% As Needed, 74% Full Time, 19% Part Time, and 5% Contract. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution.

Virtual Behavioral Health Therapist

Quadrant Health Group

Johnston, IA • Remote

$60K - $90K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 15 days ago

Job description

Quadrant Health Group provides effective, evidence-based addiction treatment that leads to long-term recovery.

We are looking for a Virtual Behavioral Health Therapist in Johnston, IA

Compensation: $60k- $90k (Based on experience) Full-time

Why Join Quadrant Health Group?

  • Competitive salary commensurate with experience.

  • Comprehensive benefits package, including medical, dental, and vision insurance.

  • Paid time off, sick time and holidays.

  • Opportunities for professional development and growth.

  • A supportive and collaborative work environment.

  • A chance to make a meaningful impact on the lives of our clients.

Join our dynamic team at Quadrant Health Group, Des Moines Wellness! We are seeking a passionate and dedicated Behavioral Health Therapist to join our growing team. The Therapist provides direct clinical services within Des Moines Wellness' Virtual Outpatient Program (Outpatient level of care), including intake assessment, treatment planning, individual and group therapy, and ongoing progress monitoring. All services are delivered via telehealth, with documentation completed in Kipu EMR.

What You'll Do:

The Therapist is responsible for timely assessments, effective treatment planning, strong clinical communication, accurate documentation, and appropriate patient follow-through throughout the course of treatment.

Behavioral Health Therapist Major Tasks, Duties and Responsibilities:

  • Complete Biopsychosocial Assessments upon intake.

  • Develop and update individualized treatment plans.

  • Conduct weekly or biweekly individual therapy sessions.

  • Assess patient progress toward treatment goals and objectives.

  • Administer and review clinical assessments, including the PHQ-9, GAD-7, and C-SSRS.

  • Facilitate a minimum of two virtual evening group sessions per week (process and psychoeducational).

  • Complete clinical documentation in Kipu EMR within 24 hours of each patient encounter, ensuring documentation supports medical necessity.

  • Identify and escalate safety concerns, clinical deterioration, or the need for a higher level of care.

  • Participate in clinical meetings, documentation reviews, and quality improvement activities.

  • Maintain a private, HIPAA-compliant space and reliable internet connection sufficient for telehealth service delivery.

What You'll Bring:

Behavioral Health Therapist Qualifications:

  • Master's degree in Counseling, Social Work, Psychology, Marriage and Family Therapy, or a related field.

  • Active Iowa behavioral health license in good standing.

  • Independent licensure preferred; associate-level clinicians considered with in-house/independently arranged clinical supervision.

  • Experience providing individual and group therapy.

  • Experience with assessments, treatment planning, and clinical documentation; Kipu EMR experience preferred.

  • Strong communication, organization, and clinical judgment.

  • Ability to work effectively in a virtual treatment environment.

  • Availability to facilitate evening groups.

  • Current CPR/First Aid certification.

  • Successful completion of a background check.

Work Environment

  • Remote, virtual clinical setting requiring a private, confidential space for all patient contact.

About Quadrant Health Group:

At Quadrant Health Group, we believe in fostering a culture of compassion, innovation, and excellence. We are dedicated to empowering individuals to achieve their optimal health and well-being. Our team is comprised of highly skilled professionals who are passionate about making a difference in the lives of those we serve. Join us and be part of a team that values your contributions and supports your professional growth.

#IA


Compensation details: 60000-90000 Yearly Salary


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