Remote Behavioral Health Utilization Clinician

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

Benefits offered by this job

Medical, dental, vision coverage

HSA contributions

Paid time off

401(k) with company match

Parental leave

Wellness programs

Job summary

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to support prospective, concurrent, and retrospective reviews from a remote location across OR, WA, ID, or UT. The role emphasizes clinical expertise, policy adherence, and collaboration with care teams to ensure quality and cost-effective outcomes.

Qualifications include a Master's in Behavioral Health, 3 years of utilization management experience, and an unrestricted license in WA/OR/ID/UT or ability to obtain

Qualifications

• Master's degree in Behavioral Health required.
• 3 years of utilization management or behavioral health care management experience.
• Licensed in WA/OR/ID/UT or ability to obtain licenses.
• Clinical license unrestricted and current in residence.

Responsibilities

• Perform comprehensive utilization management reviews (prospective, concurrent, retrospective).
• Apply clinical criteria to make determinations with physician consultation as needed.
• Collaborate with interdisciplinary teams to facilitate transitions of care.
• Provide prompt, accurate responses to inquiries with strong customer service.
• Identify improvement opportunities and participate in quality initiatives.
• Maintain meticulous documentation and prioritize assignments to meet standards.
• Protect data confidentiality and communicate professionally with members and providers.

Skills

Utilization management

Behavioral health

Licensed clinician

Multi-state licensing

Education

Master's Degree in Behavioral Health

Tools

Microsoft Office

Outlook

Internet search

Job description

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to support prospective, concurrent, and retrospective reviews from a remote location across OR, WA, ID, or UT. The role emphasizes clinical expertise, policy adherence, and collaboration with care teams to ensure quality and cost-effective outcomes.

Qualifications include a Master's in Behavioral Health, 3 years of utilization management experience, and an unrestricted license in WA/OR/ID/UT or ability to obtain