La Crosse, WI · On-site +1
... Behavioral Health Department. * Full or part time options! * Flexible scheduling * Remote work site and virtual visit options! * APA approved internship, postdoctoral fellowship, and current ...
La Crosse, WI · On-site +1
... Behavioral Health Department. * Full or part time options! * Flexible scheduling * Remote work site and virtual visit options! * APA approved internship, postdoctoral fellowship, and current ...
Ability to read, review and understand support resources provided by the contact center and its ... Health, Dental, Vision, and Life Insurance Plans, 401K, and PTO Required Education: * High school ...
Ability to read, review and understand support resources provided by the contact center and its ... Health, Dental, Vision, and Life Insurance Plans, 401K, and PTO Required Education: * High school ...
Currently needs in both Pediatric Specialties, and Behavioral Health We can be flexible: part-time, fulltime, remote/virtual options! We offer a competitive compensation package, with a guaranteed ...
Currently needs in both Pediatric Specialties, and Behavioral Health We can be flexible: part-time, fulltime, remote/virtual options! We offer a competitive compensation package, with a guaranteed ...
La Crosse, WI · Remote
$16 - $29/hr
$1,500 Sign-On Bonus for External Candidates This position is National Remote. You'll enjoy the ... Identify potential behavioral health situations and follow contract specific protocol to assist ...
La Crosse, WI · Remote
$16 - $29/hr
$1,500 Sign-On Bonus for External Candidates This position is National Remote. You'll enjoy the ... Identify potential behavioral health situations and follow contract specific protocol to assist ...
Boscobel, WI · On-site +1
$31.25 - $42/hr
Boscobel with possibility for hybrid/remote work model! What You'll Do: * Work closely with patient ... behaviors, feeding skills and health status. * Will work closely with our care team in both ...
Boscobel, WI · On-site +1
$31.25 - $42/hr
Boscobel with possibility for hybrid/remote work model! What You'll Do: * Work closely with patient ... behaviors, feeding skills and health status. * Will work closely with our care team in both ...
Onalaska, WI · On-site +1
$19.05/hr
Scheduled Weekly Hours: 40 Emplify Health by Gundersen is seeking a compassionate and detail ... Location: Onalaska * Remote eligible position after on-site training * Department: Customer ...
Onalaska, WI · On-site +1
$19.05/hr
Scheduled Weekly Hours: 40 Emplify Health by Gundersen is seeking a compassionate and detail ... Location: Onalaska * Remote eligible position after on-site training * Department: Customer ...
Review technical submittals, vendor reports, shop drawings, and operational procedures for ... We are proud to offer our employees and their families group health, dental and vision insurance ...
Review technical submittals, vendor reports, shop drawings, and operational procedures for ... We are proud to offer our employees and their families group health, dental and vision insurance ...
Help review and interpret engineering drawings, specifications, and other technical documents ... We are proud to offer our employees and their families group health, dental and vision insurance ...
Help review and interpret engineering drawings, specifications, and other technical documents ... We are proud to offer our employees and their families group health, dental and vision insurance ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
La Crosse, WI · On-site +1
Remote (WI or MN based candidates preferred) REPORTS TO: Quality Systems Manager DEPARTMENT ... Own recurring reporting for leadership, operations, procurement, finance, and executive review.
La Crosse, WI · On-site +1
Remote (WI or MN based candidates preferred) REPORTS TO: Quality Systems Manager DEPARTMENT ... Own recurring reporting for leadership, operations, procurement, finance, and executive review.
La Crosse, WI · On-site +1
Remote (WI or MN based candidates preferred) REPORTS TO: Quality Systems Manager DEPARTMENT ... Own recurring reporting for leadership, operations, procurement, finance, and executive review.
La Crosse, WI · On-site +1
Remote (WI or MN based candidates preferred) REPORTS TO: Quality Systems Manager DEPARTMENT ... Own recurring reporting for leadership, operations, procurement, finance, and executive review.
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Desire to pursue professional growth and development while maintaining a healthy work-life balance ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
La Crosse, WI · On-site +1
$72K - $130K/yr
We're going beyond basic care to health programs integrated across the entire continuum of care ... Review cost allowability, allocability, and reasonableness in accordance with federal cost ...
La Crosse, WI · On-site +1
$72K - $130K/yr
We're going beyond basic care to health programs integrated across the entire continuum of care ... Review cost allowability, allocability, and reasonableness in accordance with federal cost ...
$20.77 - $24.97
2% of jobs
$24.97 - $29.17
9% of jobs
$32.04 is the 25th percentile. Wages below this are outliers.
$29.17 - $33.37
21% of jobs
The median wage is $36.77 / hr.
$33.37 - $37.57
23% of jobs
$37.57 - $41.77
13% of jobs
$45.03 is the 75th percentile. Wages above this are outliers.
$41.77 - $45.97
10% of jobs
$45.97 - $50.17
8% of jobs
$50.17 - $54.37
5% of jobs
$54.37 - $58.57
5% of jobs
$58.57 - $62.77
2% of jobs
$62.77 - $66.97
2% of jobs
$20
$41
$66
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.
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.
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.
Cities near Genoa, WI with the most Remote Behavioral Health Utilization Review job openings:
Full-time
Life, Retirement, PTO
Re-posted 21 days ago
6.7
Based on 90 frontline employees who took The Breakroom Quiz
531st of 888 rated healthcare providers
Emplify Health (Gundersen Region), based in La Crosse, Wisconsin, is seeking a Child/Adolescent Psychologist (PhD or PsyD) to join the Behavioral Health Department.
Full or part time options!
Flexible scheduling
Remote work site and virtual visit options!
APA approved internship, postdoctoral fellowship, and current licensure or license eligibility in the state of Wisconsin.
Would welcome your interest in an evidenced based outpatient psychotherapy practice with children, adolescents and families.
Additional interest in assessment and/or treatment of children and adolescents with eating disorders welcomed.
Provide care to common referral concerns including trauma, anxiety, depression, parenting/behavioral concerns, school refusal/avoidance and/or chronic pain.
Opportunities for teaching and supervision are available should you have interest. Our department engages a variety of learners including residents, PA students, masters level therapy interns and psychology fellows.
We offer a competitive compensation package including competitive salary, loan forgiveness, generous benefits including vacation time, paid holidays, CME time, CME dollars, retirement plan and more.
To express interest or obtain additional information, please contact Recruiter Brent Wood at bawood@emplifyhealth.org
Primary Recruiter:
Brent WoodRecruiter Email Address:
bawood@emplifyhealth.orgWe inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.
Equal Opportunity Employer
Get the full story on Breakroom
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Gundersen Health System is an award winning, physician-led, integrated healthcare system employing nearly 900+ clinicians. Our mission is to distinguish ourselves through excellence in patient care, education, research and improved health in the communities we serve. A rewarding practice and an excellent quality of life awaits.
Health care and social assistance
5,001 - 10,000 Employees
La Crosse, WI, US
1891
