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Remote Behavioral Health Utilization Review Jobs in Oregon

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Remote Behavioral Health Utilization Review information

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 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 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 most commonly searched types of Behavioral Health Utilization Review jobs in Oregon?

The most popular types of Behavioral Health Utilization Review jobs in Oregon are:

What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Oregon?

For Remote Behavioral Health Utilization Review jobs in Oregon, the most frequently searched job titles are:

What cities in Oregon are hiring for Remote Behavioral Health Utilization Review jobs?

Cities in Oregon with the most Remote Behavioral Health Utilization Review job openings:

Infographic showing various Remote Behavioral Health Utilization Review job openings in Oregon as of August 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% Remote job distribution.

Full-Time Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC)

Clearly Heard Counseling Services, LLC

Forest Grove, OR • Remote

Full-time

Medical, Dental, Vision, Life

Posted 5 days ago


Job description

Position Overview

Clearly Heard Counseling Services, LLC is actively seeking a dedicated and experienced Licensed Mental Health Counselor to join our team in a full-time, remote capacity. We provide comprehensive telehealth services, allowing you to connect with clients while enjoying the flexibility of working from home. Your role will involve engaging with a diverse client base, addressing their mental health needs through professional therapy and support.

About the Organization

At Clearly Heard Counseling Services, we are committed to enhancing access to licensed therapists, dismantling stigma around mental health, and transforming the culture of mental well-being. Having established a reputation for excellence in the mental health industry, we pride ourselves on our innovative approaches and collaborative efforts to align with community providers and clients for tailored care. Our mission is to empower individuals on their mental health journey and provide them with the support they need to thrive.

Work Environment

This position is fully remote, allowing you the convenience of working from anywhere while delivering high-quality mental health services through telehealth platforms. Our commitment to maintaining a supportive work culture ensures you have access to essential resources, ongoing training, and a collaborative team environment where your input and creativity are valued.

Key Responsibilities
  • Participate in weekly treatment team meetings to discuss and communicate patient treatment goals, fostering a collaborative approach to care.
  • Conduct utilization reviews for insurance providers, efficiently gathering and presenting clinical information to secure the necessary authorizations for patient care.
  • Maintain open lines of communication with patients' families and loved ones, ensuring all inquiries are addressed promptly—within two hours during business hours and within 24 hours outside of those hours.
  • Align closely with the Utilization Review and Business Departments to streamline authorization and payment processes, and ensure timely continuity of care.
  • Initiate discharge planning upon patient admission, conducting thorough discharge sessions to reinforce coping strategies, transition plans, and available resources.
  • Manage crises effectively during therapy sessions, providing guidance and support to both patients and milieu staff to maintain a therapeutic environment.
  • Complete comprehensive clinical documentation in a timely manner, ensuring accuracy and compliance with healthcare standards throughout the treatment experience.
  • Build and nurture therapeutic relationships with patients and their families, performing thorough assessments for suicidality and possible risks to enhance safety.
  • Facilitate the admission process for new patients with warmth and professionalism, enhancing the welcoming nature of our services.
Patient Population / Client Focus

Your work will involve interacting with a broad range of clients who come from various backgrounds and present different mental health challenges. We serve individuals dealing with anxiety, depression, trauma, and various behavioral health disorders, and your compassionate approach will play a crucial role in their rehabilitation and recovery journey. Our telehealth model allows us to reach clients across Forest Grove, Oregon, and beyond, ensuring that we meet them where they are and provide culturally competent care.

Qualifications
  • A master’s or doctoral degree in clinical psychology, counseling, or clinical social work from an accredited institution (e.g., MA, MS, MSW, MFT, MHC, PhD, PsyD).
  • An independent mental health license in Oregon (e.g., LCSW, LMFT, LPC) to practice in the state.
  • Strong skills in managing a substantial caseload while interfacing with multiple healthcare providers and support staff.
  • A deep commitment to making a positive impact on lives through effective behavioral healthcare.
  • Proficiency in using electronic health record (EHR) systems for documentation and communication.
  • Excellent written communication abilities, particularly in electronic mail correspondence.
Preferred Experience
  • A minimum of two years of clinical experience in a mental health setting is preferred, including experience in telehealth.
  • Experience working with diverse populations and an understanding of the unique challenges faced by various communities.
  • Knowledge of best practices in crisis management and intervention strategies.
Compensation and Benefits

We offer a competitive salary range of USD 80,000 – 100,000 per year, commensurate with your experience and qualifications. Additionally, our benefits package includes:

  • Life and disability insurance, ensuring peace of mind for you and your family.
  • Professional liability insurance to protect you as a practitioner.
  • An employee assistance program that provides mental health support for you.
  • Minimal paperwork, allowing you to focus more on your clients and less on administrative tasks.
  • A full caseload that offers a rewarding and fulfilling work experience.
  • Comprehensive medical, dental, and vision insurance to support your health needs.
Career Growth Opportunities

Joining Clearly Heard Counseling Services opens doors to significant career advancement. As a part of our team, you will have access to continuous professional development, peer supervision, and opportunities for specialized training. We foster an environment that encourages you to pursue further certifications or advanced roles within the organization, allowing you to grow alongside us as we expand our reach and impact.

Why Join Our Team

At Clearly Heard Counseling Services, we strive to create a diverse workforce that reflects the communities we serve. Joining our team means becoming a part of a mission-driven organization that prioritizes client well-being and innovative care solutions. If you are passionate about making a difference in the mental health field and want to be part of a collaborative and supportive team, we encourage you to apply and contribute to our vision of accessible mental health for all.

Application Information

If you are ready to embark on a fulfilling career with Clearly Heard Counseling Services, please submit your resume and a cover letter detailing your qualifications and passion for mental health counseling. We look forward to reviewing your application and potentially welcoming you to our dedicated team!