Utilization Review Clinician - Behavioral Health

Centene

1 day ago

Remote - Nationwide$48.55/hrFull TimeHealthcare Administration

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Job Description

About the Role

Join Centene Corporation as a Utilization Review Clinician – Remote, Behavioral Health 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.

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: $56K - $101K

401(k) with employer match.

Work Schedule

Full-Time position.

Remote position - work from anywhere.

Flexible scheduling available.

Apply to join Centene Corporation as a Utilization Review Clinician – Remote, Behavioral Health.

Key Skills

Utilization reviewBehavioral healthMental health assessmentSubstance abuse assessmentPrior authorizationConcurrent reviewDischarge planningClinical documentationCase managementProvider educationTreatment planningRegulatory complianceMedical managementHealthcare coordination

Requirements

Requires a graduate degree in nursing or a bachelor's degree with 2-4 years of experience, plus a master's degree for behavioral health clinicians. Candidates must hold a valid clinical license such as LCSW, LMHC, LPC, LMFT, LMHP, or RN.

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Position Insights

Work-Life Balance Overview

This Utilization Review Clinician - Behavioral Health position at Centene includes the following lifestyle factors: remote work flexibility. Candidates should review the full job details to assess overall work-life fit.

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

Centene lists compensation for this healthcare professional position at $56k to $101k annually.

This position also offers production-based compensation: $49 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 ($56k–$101k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization review, Behavioral health, Mental health assessment, Substance abuse assessment, Prior authorization, Concurrent review, Discharge planning, Clinical documentation. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The clinician performs clinical reviews to assess the medical appropriateness of mental health and substance abuse services. They also conduct prior authorization and concurrent reviews while engaging with providers and leadership to improve care quality.

Benefits package: 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.