Utilization Review Clinician - Behavioral Health

Centene

7 days ago

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

✓ No Weekends

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Job Description

About the Role

Join Centene Corporation as a Utilization Review Clinician – Remote, No Weekends 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: $27.02 - $48.55/hr

401(k) with employer match.

Work Schedule

Full-Time position.

Remote position - work from anywhere.

Day shift only - no nights.

Flexible scheduling available.

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

Key Skills

Utilization managementClinical record reviewBehavioral healthPrior authorizationConcurrent reviewDischarge planningQuality improvementProvider coachingMental health assessmentSubstance abuse assessmentCase presentationRegulatory complianceData analysisHealthcare provider communication

Requirements

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

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Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Utilization Review Clinician - Behavioral Health at Centene a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 10% of all Healthcare Administration healthcare professional listings evaluated on our platform. Contributing factors include no weekend requirements.

Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.

Healthcare Administration — healthcare professional Career Context

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

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 position is based in Remote - Nationwide.

Why This Position Stands Out

No weekend shifts — preserving personal and family time
Transparent compensation ($48k–$48k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization management, Clinical record review, Behavioral health, Prior authorization, Concurrent review, Discharge planning, Quality improvement, Provider coaching. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The clinician performs clinical reviews and assesses care related to mental health and substance abuse to ensure medical appropriateness. They also analyze member data, conduct prior authorization reviews, and provide education to providers and families regarding utilization processes.

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.