Utilization Review Clinician - Behavioral Health
Centene Corporation · Azerbaijan
Utilization Review
Remote/Hybrid — check advert
physician
Nurse
Demand80
Career growth65
Healthcare fit84
Remote potential75
Salary band
USD 27 – 49
5-year outlook
Stable payer-side utilization review compensation with modest growth; advancement depends on managed care experience, licensure, and leadership scope rather than direct clinical productivity.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-22
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Permanent
- Hours
- Full-time
- Profession fit
- physician, Nurse
- Rate period
- Hourly
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for licensed behavioral health clinicians or RNs who want payer-side, remote/hybrid work with predictable hours. Less attractive if you lack independent licensure or want direct patient care.
Who should apply
LCSW/LMHC/LPC/LMFT/LMHP or RN with behavioral health/psychiatric experience; clinicians with utilization review, case management, or managed care exposure; those seeking non-bedside payer roles.
CV angle
Emphasize independent licensure, behavioral health assessment, treatment planning, level-of-care knowledge, mental health/substance use experience, interdisciplinary collaboration, documentation, and any utilization review, case management, or quality improvement work; quantify caseloads or review volumes only if real.
Skills to highlight
- Behavioral health assessment
- Treatment planning
- Level-of-care determination
- Utilization review/medical necessity
- Mental health and substance use
- Interdisciplinary collaboration
- Care coordination
- Clinical documentation/case presentation
Role summary
Payer-side clinician reviewing behavioral health care requests and treatment plans for medical necessity, level of care, and quality/efficiency; collaborates with medical directors and care teams.
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