Remote Behavioral Health Utilization Specialist

Banner Health; Yuma (AZ); Remote; USD 39,000 - 65,000; Full time

Job summary

Banner Health is seeking a Behavioral Health Utilization Care Manager to authorize initial admissions and perform concurrent reviews for medical necessity. The role involves coordination with hospitals, providers, and care managers to ensure appropriate care plans and discharge planning.

The position is remote, but Arizona residency is required for compliance. Primary responsibilities include utilization reviews, collaboration with medical staff, and education on case management practices, with

Qualifications

• Master’s degree in social work, counseling or related field with licensure.
• Licensure in one of: LCSW, LMSW, LPC, LAC, or Licensed Psychologist.
• Three years of clinical experience in counseling or care management.

Responsibilities

• Reviews and authorizes behavioral health and substance abuse services across inpatient, residential and outpatient settings.
• Assesses member plans of care and monitors utilization and discharge planning.
• Collaborates with physicians, providers, and payers to meet regulatory requirements and ensure quality care.
• Provides telephonic or electronic document reviews and educates team members on case management concepts.

Skills

Clinical experience

Communication skills

Time management

Team collaboration

Education

Master's degree in social work or counseling

State licensure (LCSW/LMSW/LPC/LAC or Psychologist)

Job description

Banner Health is seeking a Behavioral Health Utilization Care Manager to authorize initial admissions and perform concurrent reviews for medical necessity. The role involves coordination with hospitals, providers, and care managers to ensure appropriate care plans and discharge planning.

The position is remote, but Arizona residency is required for compliance. Primary responsibilities include utilization reviews, collaboration with medical staff, and education on case management practices, with