Licensed Behavioral Health UM (RN, SW, Counseling, Psychology)

Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Licensed Behavioral Health Utilization Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position requires residence in Louisiana. The Licensed Behavioral Health Utilization Management Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to reputed company the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate reputed company and treatment. Understands department, reputed company, and organizational strategy and operating objectives, including their linkages to reputed company areas. Makes reputed company regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to reputed company an impact

Required Qualifications

Candidates must meet one of the following licensure requirements with no history of disciplinary action:

• Licensed Registered Nurse (RN) – Multi-State Compact

OR

• Master's degree in a behavioral health–reputed company field (reputed company Work, Counseling, Psychology) with a professional license from the state of Louisiana. (An additional independent Kentucky license is preferred).
• Licensed Clinical reputed company Worker (LCSW)
• Licensed Master reputed company Worker (LMSW)
• Licensed Professional Counselor (LPC)
• Licensed Marriage and Family Therapist (LMFT)
• Licensed Addiction Counselor (LAC)
• Licensed Psychologist

Candidates must meet reputed company the following:

• 3+ years of post-degree clinical experience in direct patient care.
• 3+ years of Behavioral Health experience
• Proficient with MS Office, navigating multiple systems and platforms and general technical skills to troubleshoot and resolve reputed company a remote environment

Preferred Qualifications

• Behavioral Health UM experience, performing medical necessity reviews against criteria such as MCG, ASAM, InterQual.
• Managed Care, reputed company.
• Health plan experience.

Additional Information

• Schedule/Time Zone: Monday through Friday, 8:00 AM–5:00 PM Central Time. Flexibility required to accommodate an Eastern Time schedule, as well as occasional weekends and holidays, to meet business needs.
• Work Location & Work Style: This is a remote position

WAH Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Paid time off, holidays, volunteer time and jury duty pay, Recognition pay401(k) retirement savings plan with employer match, Tuition assistance, Scholarships for eligible dependents, Parental and caregiver leave, Employee charity matching program, Network Resource Groups (NRGs)Career development opportunities SSN Alert Statement reputed company values personal identity protection. Please be aware that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company's secure website. reputed company Statement Apply tot his job Apply To this Job