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Remote Behavioral Health Utilization Review Jobs in Texas

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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 Texas?

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

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

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

What job categories do people searching Remote Behavioral Health Utilization Review jobs in Texas look for?

The top searched job categories for Remote Behavioral Health Utilization Review jobs in Texas are:

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

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

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

Full-Time Remote Licensed Clinical Social Worker at Horsham Behavioral Health

Horsham Behavioral Health

Dallas, TX • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago


Job description

Position Overview

Horsham Behavioral Health, a leader in mental health support, is seeking a dedicated and licensed Clinical Social Worker (LCSW) to join our dynamic team in a full-time, remote role. This position offers a competitive salary ranging from $90,000 to $105,000 annually, reflecting our commitment to attracting top talent. As an LCSW, you will play a vital role in enhancing the wellbeing of our clients, contributing to their healing and empowerment journeys.

About the Organization

At Horsham Behavioral Health, we are deeply committed to providing high-quality mental health services tailored to a diverse range of needs. Our specialized team comprises compassionate professionals dedicated to fostering a safe and nurturing environment primed for personal growth. We emphasize the importance of empowerment, recognizing that every client's journey is unique. Through a collaborative and client-centered approach, we aim to redefine how mental health services are perceived and delivered.

Work Environment

This role offers the flexibility of a fully remote work setting, which allows you to perform your duties effectively from the comfort of your home. We utilize a range of digital tools and platforms to maintain communication and provide support to clients and teams seamlessly. Our work culture values input and collaboration, and we encourage professional development through continuous learning opportunities and peer support.

Key Responsibilities
  • Act as a liaison between clients, their families, and outpatient service providers to ensure comprehensive, integrative care.
  • Engage with insurance companies to manage pre-certification and utilization processes, advocating for our clients’ needs and entitlements.
  • Participate actively in discharge and aftercare planning, ensuring continuity of care for clients transitioning from intensive treatment services.
  • Offer therapeutic meal support, demonstrating and promoting a healthy relationship with food as part of holistic client care.
  • Provide safe, empathetic, and culturally affirming care, tailoring strategies to meet each client's unique needs and acknowledging their intersecting identities.
Patient Population / Client Focus

Your work will primarily focus on supporting clients in a detox center setting, often dealing with challenges related to substance use and mental health disorders. You will engage with individuals from diverse backgrounds, providing tailored support that respects and integrates their unique circumstances and identities to foster personal healing and recovery.

Qualifications
  • Master's degree in Social Work (MSW) from an accredited institution is required.
  • A valid Licensed Clinical Social Worker (LCSW) license in the state of Texas is mandatory.
  • Experience working with older adults and a strong understanding of their specific mental health challenges is essential.
  • Demonstrated strong clinical and diagnostic skills to assess client needs and implement effective treatment strategies.
  • Exceptional communication and interpersonal skills, enabling effective collaboration with clients, families, and other healthcare providers.
  • The ability to work independently while also integrating with a team-focused environment is crucial.
Preferred Experience
  • Prior experience in a detox or rehab center is a significant advantage.
  • Familiarity with electronic health records (EHR) systems and telehealth platforms is preferred to enhance the efficiency of service delivery.
  • Previous involvement in developing treatment plans and participating in multidisciplinary teams.
Compensation and Benefits

We offer a competitive compensation package that ranges from $90,000 to $105,000 annually. In addition to a competitive salary, we provide a comprehensive benefits package that includes:

  • Medical, dental, and vision insurance plans to keep you and your family healthy.
  • A 401(k) plan with flexible spending options to help you prepare for your future.
  • Life insurance for peace of mind and financial security.
  • Accident and short-term disability coverage for unexpected situations.
Career Growth Opportunities

Horsham Behavioral Health is committed to fostering an environment where professional growth is encouraged. We provide our employees with access to training programs, workshops, and continuous education resources. As a member of our team, you will have the opportunity to advance your career within the organization, take on leadership roles, and contribute to innovative mental health initiatives.

Why Join Our Team

When you join Horsham Behavioral Health, you become part of a passionate community dedicated to making a real difference in the lives of our clients. We value collaboration, empathy, and innovation, and we strive to create a supportive workplace culture where every voice is heard. Together, we can create meaningful change and empower those we serve.

Application Information

If you are enthusiastic about making a difference in the mental health field and possess the qualifications we're seeking, we encourage you to apply today. Join us in transforming lives and supporting our clients on their journeys to recovery.