Behavioral Health Utilization Clinician

Lucet; United States; Remote; USD 72,000 - 77,000; Full time

Benefits offered by this job

Comprehensive health benefits

401(k) plan with employer match

Life and disability insurance

Paid parental leave

Generous PTO including volunteer time

Flexible spending accounts

Tuition reimbursement

Remote work flexibility

Professional development opportunities

Job summary

Lucet is seeking a Utilization Management Clinician to review and authorize requests, coordinating behavioral health care with our provider network. You will determine medical necessity, support appropriate discharge planning, and ensure exceptional member service.

This remote, home-based role requires a state license, at least two years of direct clinical care in psychiatric or chemical dependency settings, strong communication, and ability to interpret medical policy.

Qualifications

• Has a current, unrestricted license to practice independently as a licensed clinician in the United States.
• Minimum of two years of direct clinical care experience in psychiatric or chemical dependency treatment.
• Excellent verbal and written communication and interpersonal skills.
• Ability to comprehend medical policy and criteria and articulate health information clearly.
• Must be able to pass comprehensive background checks and safety screenings.

Responsibilities

• Utilization Management & Clinical Review: conduct behavioral health utilization reviews and apply medical necessity criteria.
• Care Coordination & Member Support: coordinate care with families, providers, and clients to access services and support discharge planning.
• Compliance, Systems & Professional Development: maintain documentation, use clinical systems, and adhere to policies.

Skills

Clinical communication

Documentation skills

Medical policy understanding

Background check readiness

Education

Clinical licensure (SW/LMFT/LCPC/PSY/RN)

Job description

Lucet is seeking a Utilization Management Clinician to review and authorize requests, coordinating behavioral health care with our provider network. You will determine medical necessity, support appropriate discharge planning, and ensure exceptional member service.

This remote, home-based role requires a state license, at least two years of direct clinical care in psychiatric or chemical dependency settings, strong communication, and ability to interpret medical policy.