A prominent health care organization seeks an experienced Behavioral Health Utilization Management Clinician to provide utilization management reviews, ensuring compliance with medical standards. The ideal candidate will have a Master's Degree in Behavioral Health and experience in the field. This role is fully remote within specific states and offers a competitive hourly rate of $42.00 - $44.00, along with a bonus structure. Join a mission-driven team making a positive change in healthcare.
Qualifications
3 years of utilization management or behavioral health care management experience.
3 years direct Behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician.
Clinical License must be unrestricted and current in state of residence.
Responsibilities
Perform utilization management reviews for compliance with medical necessity.
Consult with physician advisors to ensure accuracy in assessments.
Collaborate with interdisciplinary teams to enhance care transitions.
Skills
Advanced behavioral healthcare proficiency
Exceptional communication skills
Organizational and time management skills
Critical thinking
Proficiency with Microsoft Office
Education
Master’s Degree in Behavioral Health Discipline
Job description
A prominent health care organization seeks an experienced Behavioral Health Utilization Management Clinician to provide utilization management reviews, ensuring compliance with medical standards. The ideal candidate will have a Master's Degree in Behavioral Health and experience in the field. This role is fully remote within specific states and offers a competitive hourly rate of $42.00 - $44.00, along with a bonus structure. Join a mission-driven team making a positive change in healthcare.