Utilization Review Clinician - Behavioral Health

Centene

Today

Remote - Nationwide$27.02 - $48.55 per hourFull TimeHealthcare Administration

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Job Description

About the Role

Join Centene Corporation as a Utilization Review Clinician – Remote Option in United States. You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Key Responsibilities

Complies with all policies and standards.

Kentucky Medicaid M-F 8-5 EST SUD experience Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.

License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.

Master’s degree for behavioral health clinicians required.

Benefits & Compensation

Salary: $27.02 - $48.55/hr

401(k) with employer match.

Work Schedule

Full-Time position.

Hybrid position - combination of remote and on-site.

No weekends required.

Day shift only - no nights.

Flexible scheduling available.

This position offers day shifts only. Work with Centene Corporation in United States.

Key Skills

Clinical ReviewMental HealthSubstance AbusePrior AuthorizationConcurrent ReviewDischarge PlanningData AnalysisProvider EducationHealthcare InteractionQuality ImprovementTreatment PlanningUtilization ReviewTeam CollaborationCase FormulationRegulatory GuidelinesLicensure

Requirements

Candidates must have a graduate degree from an accredited nursing school or a bachelor's degree with 2-4 years of related experience. Licensure as a clinical social worker, mental health counselor, or similar is required, along with knowledge of mental health and substance abuse treatment.

HealthcareSocial Servicesvia Workday

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Utilization Review Clinician - Behavioral Health at Centene a 6.3 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Healthcare Administration healthcare professional listings evaluated on our platform. Contributing factors include remote work flexibility.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at Centene is open to healthcare professional candidates.

Remote healthcare professional positions in Healthcare Administration have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Compensation Analysis

This position also offers production-based compensation: $48000 per hourly. Production bonuses can significantly increase total earnings above the stated base salary range.

Location & Logistics

This is a fully remote healthcare professional position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

Fully remote — work from anywhere with an active license
Transparent compensation ($48k–$48k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Clinical Review, Mental Health, Substance Abuse, Prior Authorization, Concurrent Review, Discharge Planning, Data Analysis, Provider Education. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The Utilization Review Clinician performs clinical reviews and assesses care related to mental health and substance abuse. They monitor the appropriateness of care levels and services, and engage with healthcare providers to improve care quality.

Benefits package: Competitive Pay, Health Insurance, 401K, Stock Purchase Plans, Tuition Reimbursement, Paid Time Off, Holidays, Flexible Work Schedules. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Healthcare Administration healthcare professional jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.