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Remote Behavioral Health Utilization Review Jobs in Ohio

CareSource

Behavioral Health Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of ... the review of utilization data to identify variances in patterns, and provide feedback and ...

Miamioh

$44K - $61K/yr

Job Title Behavioral Health Post Doctoral Fellow Department Student Counseling Worker Type ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

Miamioh

Behavioral Health Post Doctoral Fellow

Oxford, OH · On-site +1

$46K - $62K/yr

Job Title Behavioral Health Post Doctoral Fellow Department Student Counseling Worker Type ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

NewVista Behavioral Health

$65K - $70K/yr

... Solero Behavioral Transitions of Columbus is currently recruiting a licensed clinician for a ... A mental health residential facility is a place where people receive intensive, specialized care ...

Team Recovery Ohio LLC

Virtual Therapist

Toledo, OH · On-site +1

$401K/yr

Stay informed regarding current evidence-based practices, treatment modalities, behavioral health ... reviews, utilization management processes, and coordination of care with insurance providers and ...

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How much do remote behavioral health utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote behavioral health utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What is a remote behavioral health utilization review?

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 remote behavioral health utilization review, 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 the most commonly searched types of Behavioral Health Utilization Review jobs in Ohio? The most popular types of Behavioral Health Utilization Review jobs in Ohio are:
What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Ohio? For Remote Behavioral Health Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Behavioral Health Utilization Review jobs in Ohio look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Remote Behavioral Health Utilization Review jobs? Cities in Ohio 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 Ohio as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

RN Field Behavioral Health Case Manager

Healthcare Support Staffing

Maumee, OH • Remote

Full-time

Re-posted 19 days ago

Job description

Company Description

Are you an experienced Administrative Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

Job Description

RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members' current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members. 

Daily Responsibilities: 

RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members'

Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals. 

Empower patients to help them improve their quality of life. 

Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.

RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.

RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.

Working with these members to identify needs and goals to achieve improved quality of life.

Maintain HIPAA compliance.


Qualifications

Requirements: 

MUST have a valid RN License in the State of OH

3 years of Behavioral Health experience 

3-5 years of case and/or utilization management experience.

CCM (Certified Case Manager) or other clinical certification preferred

Hours for this Position: 

Monday - Friday 8 am - 5 pm.   


Advantages of this Opportunity:

Competitive salary

Growing Company

Medical benefits go into effect 30 days after start date



Additional Information


If you are interested in applying to this position, please contact Shanna Ramirez, (407) 636-7030 ext. 170 and click the Green "I'm Interested" Button to email your resume.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!


The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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