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Lucet is seeking a licensed Utilization Management Clinician for a remote, temporary assignment from December 1, 2026, to June 30, 2027. You will review and authorize behavioral health and related services, coordinating care with our provider network and ensuring medical necessity determinations and discharge planning.
Applicants must hold an unrestricted U.S. license (LCSW, LMFT, LPC, psychologist, or RN as applicable) and have at least two years of direct clinical care experience.
This is a temporary assignment beginning 12/1/2026 - 6/30/2027
At Lucet, were transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives.
As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive.
At Lucet, were committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If youre passionate about meaningful work and delivering impactful results, we encourage you to apply!
We support our team with a competitive compensation and benefits package, including:
At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.
The Utilization Management Clinician is responsible for reviewing and completing initial and concurrent authorization requests, ensuring excellent customer service and member care. The role includes behavioral health clinical care coordination with the daily handling of incoming telephonic contact from our provider network, with the intent of making medical necessity determinations and ensuring appropriate discharge planning.
Conducts comprehensive behavioral health utilization reviews, applying medical necessity criteria, clinical judgment, and evidence-based practices to support appropriate level-of-care determinations and member outcomes.
Collaborates with members, families, providers, and clients to coordinate care, facilitate access to behavioral health services, support discharge planning, and promote successful treatment outcomes.
Maintains compliance with regulatory and accreditation standards through accurate documentation, effective use of clinical systems, ongoing professional development, and adherence to organizational policies and procedures.
Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse in the state in which the business operation is located and/or other states as required by law, regulation, or contract.
- Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment.
- Excellent verbal and written communication and interpersonal skills, strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone.
- Ability to comprehend medical policy and criteria to clearly articulate health information.
- Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.
This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.