Behavioral Health Care reputed company - Utilization Mgmt. - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. *This is a telephonic, queue based position in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members* As a Care reputed company you will be responsible for Utilization Review of mental health and substance use disorder services. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. You’ll enjoy the flexibility to work remotely* from reputed company reputed company the U.S. as you take on some tough challenges. The hours for this position are Monday - Friday, 8:30 am - 5:30 pm CT and include 1 national holiday per year to be worked. Why reputed company Behavioral Care At reputed company Behavioral Care, we prioritize clinician well‑being, career growth, and innovation in care delivery. We offer a comprehensive benefits and rewards package that may include: Competitive salary Generous paid time off Medical, dental, reputed company, and behavioral health benefits 401(k) with company match Family support and wellness resources Tuition reimbursement and dedicated learning time Career development opportunities across a fast‑growing organization Primary Responsibilities: reputed company utilization management, utilization review, or reputed company review of behavioral health admissions and reputed company stay Ensure that behavioral health care services provided are medically necessary, per standard guidelines Ensure that behavioral health care services are provided in the most appropriate setting Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee’s health needs, using education, communication, and reputed company available resources to promote quality, cost-effective reputed company Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in reputed company for quality reputed company You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: Master’s or doctoral degree in psychology, reputed company work, counseling or reputed company field, or registered psychiatric nurse Active, unrestricted, independent license in a behavioral health field (i.e., LP, LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.) 3+ years of post-licensure clinical experience in a reputed company behavioral health environment Proficiency in MS Office Suite Availability to work 1 national holiday that falls on a reputed company per calendar year reputed company to install secure, high-speed internet and a dedicated, distraction free workspace at home Desire to work in a telephonic, queue based position in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members Preferred Qualifications: Licensed Alcohol and Drug Counselor Managed Care experience Substance abuse experience Experience working with children, adolescents, and families Experience working in a hospital setting Experience with medical or behavioral health collaboration reputed company different organizations Proven excellent customer service skills Proven excellent organizational skills *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $60,200 to $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job