Remote Behavioral Health Utilization Clinician

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

Benefits offered by this job

Health benefits

401(k) with company match

Paid time off

Job summary

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform comprehensive reviews (prospective, concurrent, retrospective) and ensure medical necessity and quality standards. The role emphasizes collaboration with physician advisors and interdisciplinary teams to optimize outcomes.

The ideal candidate holds a Master’s in Behavioral Health, current unrestricted license, and experience in utilization management, with eligibility to be licensed in WA/OR/ID/UT.

Qualifications

• Master’s Degree in Behavioral Health required.
• 3 years of utilization management or behavioral health care management experience.
• Unrestricted clinical license in state of residence.
• Licensed in WA, OR, ID or UT and willing to be licensed in multiple states.
• Independent licensed Master’s-level Behavioral Health Clinician.

Responsibilities

• Perform comprehensive utilization management reviews (prospective, concurrent, retrospective).
• Apply clinical expertise and evidence-based criteria to make determinations.
• Collaborate with interdisciplinary teams to ensure seamless transitions of care.

Skills

Utilization management

Verbal communication

Interdisciplinary collaboration

Time management

Education

Master’s Degree in Behavioral Health

Licensed Behavioral Health Clinician

Tools

EHR systems

Microsoft Office

Outlook

Job description

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform comprehensive reviews (prospective, concurrent, retrospective) and ensure medical necessity and quality standards. The role emphasizes collaboration with physician advisors and interdisciplinary teams to optimize outcomes.

The ideal candidate holds a Master’s in Behavioral Health, current unrestricted license, and experience in utilization management, with eligibility to be licensed in WA/OR/ID/UT.