LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN) - REMOTE

Morgan Stephens; Jacksonville (FL); Remote; USD 87,000 - 92,000; Full time

Job summary

A leading healthcare organization is seeking a Utilization Management Clinician specializing in behavioral health. This fully remote role involves conducting utilization reviews, ensuring quality care, and collaborating across departments. Ideal candidates will hold an active clinical license and have experience in behavioral health or utilization management.

Benefits

Competitive hourly pay

Full medical benefits offered

Work-from-home flexibility

Supportive leadership and onboarding

Qualifications

• Active, unrestricted clinical license required in Washington State.
• 2-4+ years of clinical experience in behavioral health.
• Strong knowledge of medical necessity guidelines.

Responsibilities

• Conduct utilization reviews for inpatient and behavioral health services.
• Collaborate across internal departments to ensure coordinated care.
• Monitor productivity and quality benchmarks.

Skills

Clinical license

Time management

Communication

Knowledge of medical necessity guidelines

Proficiency with Microsoft Office

Education

LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN)

Tools

EMR systems

Microsoft Office

Job description

Utilization Management Clinician – Behavioral Health (Remote)
Pay: $42/hour + Full Medical Benefits
Schedule: Monday–Friday, 9:00am–5:00pm EST (or Tuesday–Saturday)
Employment Type: Long-Term Contract
Location: Remote – Must be located in EST or CST willing to work EST schedule

About the Opportunity
A nationally recognized healthcare organization is seeking a Behavioral Health Utilization Management Clinician to join its high-performing team. This is a 100% remote opportunity supporting members in Washington State. You’ll be a key member of the Utilization Management team, ensuring appropriate, cost-effective, and quality care for behavioral health services through clinical review, coordination, and prior authorizations.

Key Responsibilities

• Conduct utilization reviews for inpatient and behavioral health levels of care

• Process concurrent and prior authorizations in compliance with organizational policies

• Review member eligibility and benefits to determine appropriate level of care

• Collaborate across internal departments (Behavioral Health, Long-Term Care, etc.) to ensure coordinated care

• Monitor productivity and quality benchmarks while maintaining accurate documentation in EMR systems

• Communicate with providers and internal teams professionally and efficiently

• Participate in staff meetings, training, performance improvement efforts, and audits

• Refer complex cases to medical directors as appropriate

Required Qualifications

• Active, unrestricted clinical license in Washington State:

  • LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN)

• 2–4+ years of clinical experience in behavioral health, utilization management, case management, or hospital settings

• Strong knowledge of medical necessity guidelines, including InterQual

• Familiarity with NCQA and HIPAA compliance

• Excellent written, verbal, and time management skills

• Proficiency with Microsoft Office and EMR systems

• Reliable high-speed internet and access to a home office setup including monitor and docking station

Preferred Experience

• Behavioral health or psychiatric care background

• Familiarity with UM reviews and prior authorization protocols

• Experience with concurrent review, discharge planning, or crisis intervention

Perks & Benefits

• Competitive hourly pay

• Full medical benefits offered

• Work-from-home flexibility

• Supportive leadership and onboarding