Remote Behavioral Health Utilization Clinician

Cambia Health Solutions; Boise (ID); Remote; USD 47,000 - 62,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Health Savings Account

Paid time off

Company retirement plan with match

Paid parental leave

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Job summary

Cambia Health Solutions is hiring clinicians for utilization management within a nationally remote role serving Oregon, Washington, Idaho and Utah. You will leverage clinical expertise to ensure medical necessity and cost-effective outcomes while maintaining patient care quality.

As part of the Behavioral Health team, you’ll work across departments, document diligently, and participate in quality improvement initiatives to support Cambia’s mission and values.

Qualifications

• Masters degree in Behavioral Health discipline.
• 3 years of utilization management experience.
• 3 years of direct behavioral health clinical experience as an independently licensed master's level clinician.
• Current unrestricted license in WA, OR, ID or UT and willingness to be licensed in multiple states.

Responsibilities

• Perform comprehensive utilization management reviews (prospective, concurrent, retrospective).
• Apply clinical expertise and criteria to make determinations, consulting physician advisors as needed.
• Collaborate with interdisciplinary teams to facilitate transitions of care and issue resolution.

Skills

Utilization management

Clinical licensing

Behavioral health care management

Communication skills

Microsoft Office

Education

Master’s Degree in Behavioral Health

Job description

Cambia Health Solutions is hiring clinicians for utilization management within a nationally remote role serving Oregon, Washington, Idaho and Utah. You will leverage clinical expertise to ensure medical necessity and cost-effective outcomes while maintaining patient care quality.

As part of the Behavioral Health team, you’ll work across departments, document diligently, and participate in quality improvement initiatives to support Cambia’s mission and values.