Remote Behavioral Health Utilization Clinician

Cambia Health Solutions; Burlington (WA); Remote; USD 48,000 - 79,000; Full time

Benefits offered by this job

Remote-friendly

Health benefits

401(k) with company match

Job summary

Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to perform utilization management reviews (prospective, concurrent, retrospective) for members in the US states including WA, OR, ID, UT. This remote role emphasizes collaboration with physician advisors, quality outcomes, and patient-centered care.

Applicants must hold a Master’s in Behavioral Health, be licensed in at least one qualifying state, and have 3 years of relevant experience in behavioral health care

Qualifications

• Master’s Degree in Behavioral Health Discipline required.
• 3 years of utilization management or behavioral health care management experience.
• Clinical license must be unrestricted and current in state of residence; WA/OR/ID/UT licensure preferred.

Responsibilities

• Performs comprehensive utilization management reviews (prospective, concurrent, retrospective).
• Applies clinical expertise to make informed determinations and consults with physician advisors as needed.
• Fosters collaboration with interdisciplinary teams and manages documentation to meet standards.

Skills

Utilization management experience

Independent licensed clinician

Behavioral health care management

Policy interpretation

Customer service skills

Education

Master’s Degree in Behavioral Health Discipline

Tools

Microsoft Office

Outlook

Electronic health record systems

Job description

Cambia Health Solutions is seeking a licensed Behavioral Health Clinician to perform utilization management reviews (prospective, concurrent, retrospective) for members in the US states including WA, OR, ID, UT. This remote role emphasizes collaboration with physician advisors, quality outcomes, and patient-centered care.

Applicants must hold a Master’s in Behavioral Health, be licensed in at least one qualifying state, and have 3 years of relevant experience in behavioral health care