LCSW, LPC, LMFT - Utilization Review - Arizona

Optum; Phoenix (AZ); Remote; USD 70,000 - 100,000; Full time

Job summary

Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings.

You will collaborate with providers and community resources on a Monday–Friday schedule during standard business hours, with occasional weekend or holiday on-call. AZ residency with an active independent license (LCSW/LMFT/LPC), a master's in behavioral

Qualifications

• Experience with utilization review as a primary function.
• Active AZ independent license (LCSW/LMFT/LPC).
• Minimum 2 years of behavioral health experience.

Responsibilities

• Review behavioral health and substance use cases
• Determine appropriate levels of care
• Coordinate transitions between inpatient and outpatient settings
• Collaborate with providers and community resources

Skills

Utilization review

Behavioral health experience

Coordination of care

Case management

Education

Master's degree in behavioral health or related field

AZ independent license (LCSW/LMFT/LPC)

Job description

Join Optum/UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'll help ensure they receive the right level of care at the right time. This is a fully remote position with a Monday-Friday schedule during standard business hours. There may be a need for occasional weekend or holiday on call availability based on business need.

What You'll Do:

• Review behavioral health and substance use cases
• Determine appropriate levels of care
• Coordinate transitions between inpatient and outpatient settings
• Collaborate with providers and community resources

Requirements:

• Experience with utilization review as a primary job function
• Master's degree in behavioral health or related field
• Active independent AZ license (LCSW, LMFT, or LPC)
• 2+ years of behavioral health experience
• AZ residency and reliable internet

Preferred Experience:

• Working with dual diagnosis (SUD and behavioral health)
• Medicaid/Medicare populations and/or community mental health
• Experience with benefit coordination