Remote Behavioral Health Utilization Clinician

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

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with company match

Generous paid time off

Job summary

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform prospective, concurrent, and retrospective reviews from a home-based setting across Oregon, Washington, Idaho, or Utah. The role emphasizes clinical expertise in behavioral health and cost-effective outcomes, with preference for residents in Idaho and Utah.

Qualified candidates hold a Master’s in Behavioral Health, have 3 years of utilization management or behavioral health care experience, and are licensed

Qualifications

• Master’s degree in Behavioral Health or related field.
• 3 years of utilization management or behavioral health care management experience.
• 3 years of direct Behavioral Health clinical experience as an independently licensed clinician.

Responsibilities

• Perform comprehensive utilization management reviews (prospective, concurrent, retrospective).
• Apply clinical criteria to determine medical necessity and policy adherence.
• Collaborate with interdisciplinary teams to ensure seamless transitions of care.
• Provide timely, accurate responses to inquiries and maintain high levels of customer service.
• Identify opportunities for quality improvement and participate in initiatives.
• Maintain meticulous documentation and protect confidentiality.

Skills

Master’s degree in Behavioral Health

Utilization management experience

Independent licensed BH clinician

WA/OR/ID/UT licensure

Strong communication

Education

Master’s degree in Behavioral Health

Job description

Cambia Health is seeking a Behavioral Health Utilization Management Clinician to perform prospective, concurrent, and retrospective reviews from a home-based setting across Oregon, Washington, Idaho, or Utah. The role emphasizes clinical expertise in behavioral health and cost-effective outcomes, with preference for residents in Idaho and Utah.

Qualified candidates hold a Master’s in Behavioral Health, have 3 years of utilization management or behavioral health care experience, and are licensed