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

Morgan Stephens; Jacksonville (FL); Remote; USD 87,000 - 120,000; Full time

Job summary

Join a leading healthcare organization as a Utilization Management Clinician. This fully remote position involves conducting utilization reviews, processing authorizations, and ensuring quality care in the behavioral health sector. Ideal candidates will have a valid clinical license and experience in utilization management.

Benefits

Competitive hourly pay

Full medical benefits offered

Work-from-home flexibility

Supportive leadership and onboarding

Qualifications

• Must possess a clinical license such as LICSW, LMHC, LMFT, or Psychiatric RN.
• Required 2–4+ years of relevant clinical experience.

Responsibilities

• Conduct utilization reviews for inpatient and behavioral health levels of care.
• Process concurrent and prior authorizations in compliance with organizational policies.
• Collaborate across internal departments to ensure coordinated care.

Skills

Knowledge of medical necessity guidelines

Excellent written and verbal skills

Time management skills

Education

Active, unrestricted clinical license in Washington State

2–4+ years of clinical experience in behavioral health

Tools

Microsoft Office

EMR systems

Job description

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

Join to apply for the LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN) - REMOTE role at Morgan Stephens

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

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Join to apply for the LICSW, LMHC, LMFT, or Psychiatric RN (RN/LPN) - REMOTE role at Morgan Stephens

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Utilization Management Clinician – Behavioral Health (Remote)

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting

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