Remote Behavioral Health Utilization Review Clinician

Centene Corporation; California (MO); Remote; USD 37,222 - 66,882; Full time

Benefits offered by this job

Comprehensive benefits package

Flexible work schedule

Tuition reimbursement

401K and stock purchase plans

Paid time off and holidays

Job summary

A diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have strong behavior health experience and a relevant license. This position offers competitive pay, a flexible work schedule, and a comprehensive benefits package including health insurance and paid time off.

Qualifications

• Licensed Clinical Behavioral Health Professional or RN.
• Must reside in California.
• Experience in mental health and substance abuse.

Responsibilities

• Evaluate treatment for mental health and substance abuse.
• Perform prior authorization reviews.
• Analyze BH member data for quality improvement.
• Engage with healthcare providers on care levels.

Skills

Behavior Health experience

Clinical knowledge of mental health

Experience working with providers

Education

Bachelor's degree

Graduate of an Accredited School Nursing

Master’s degree for behavioral health clinicians

Job description

A diversified national organization is seeking a Licensed Clinical Behavioral Health Professional or RN to assess care related to mental health and substance abuse. This role involves evaluating treatment needs, performing authorization reviews, and improving service quality. Ideal candidates should have strong behavior health experience and a relevant license. This position offers competitive pay, a flexible work schedule, and a comprehensive benefits package including health insurance and paid time off.