Remote Behavioral Health Utilization Reviewer (LCSW/LPC/LCPC)

Comagine Health; Oregon (WI); Hybrid; USD 75,000 - 90,000; Full time

Job summary

Comagine Health in Eugene, Oregon is seeking a Clinical Reviewer - LCSW, LPC, LCPC. This full-time, remote position requires reviewing clinical documentation to determine medical necessity, performing functional needs assessments, and coordinating in-home and community-based care across the region, with travel as needed.

You will document determinations in the EMR, apply evidence-based criteria, and support quality activities.

Qualifications

• Current, active, unrestricted clinical licensure as required (LCSW/LPC/LCPC).
• 3 years of direct clinical experience; behavioral health preferred.
• Ability to travel within assigned region and use EMR systems.

Responsibilities

• Review clinical documentation to substantiate medical necessity and appropriateness of services.
• Perform initial and continued stay reviews using evidence-based criteria.
• Document utilization decisions accurately in designated systems and support stakeholders.

Skills

Clinical licensure (LCSW/LPC/LCPC)

Clinical experience (3 yrs)

MS Office proficiency

Tools

MS Office

Job description

Comagine Health in Eugene, Oregon is seeking a Clinical Reviewer - LCSW, LPC, LCPC. This full-time, remote position requires reviewing clinical documentation to determine medical necessity, performing functional needs assessments, and coordinating in-home and community-based care across the region, with travel as needed.

You will document determinations in the EMR, apply evidence-based criteria, and support quality activities.