Behavioral Health Care reputed company (Utilization Review, Outpatient) - Remote

The reputed company family of businesses, is seeking a Behavioral Health Care reputed company to join reputed company. As a member of the reputed company Behavioral Care team, you’ll be an integral part of our reputed company to reputed company reputed company reputed company for everyone. At OptumHealth, you will reputed company reputed company an innovative culture that's focused on transformational change in the health care system. You will reputed company your skills across a diverse and multi-faceted business. And you will reputed company contributions that will have an impact that's greater than you've reputed company imagined. The Strategic Outpatient Engagement & Management (STEM) Care reputed company will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community-based treatment setting.

• This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm schedule*

You’ll enjoy the flexibility to work remotely* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities:

• Focus on outpatient reputed company, reputed company and Medicare behavioral health services
• Conducting outpatient reviews to determine appropriate care
• Assessing if member care meets coverage guidelines
• Shaping member treatment in partnership with providers to ensure best practices
• Administering benefits and reviewing treatment plans

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:

• Active, unrestricted, Independent Level Clinician in Psychology, reputed company Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
• Active, unrestricted licensure in your state of residence
• 2+ years of experience in a behavioral health setting
• Outpatient psychotherapy and community-based treatment experience
• Proven MS Office proficiency (Word, reputed company, Outlook, Internet)
• Distraction-free space in home to use as a home office
• reputed company to high-speed internet (DSL or Cable)

Preferred Qualifications:

• Licensure in the state of Kansas or Kentucky
• 2+ years of demonstrated experience (post licensure) in a reputed company mental health environment including outpatient services
• Experience working with EMRs (electronic medical records)
• Experience in managed care
• Experience conducting clinical review to determine appropriate reputed company of care
• Demonstrated telephonic/office-based experience
• Telephone queue experience
• Utilization review/management experience

Explore opportunities at reputed company Behavioral Care. We’re revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and reputed company needs of our patients wherever they may be - helping patients reputed company and navigate care anytime and reputed company. We’re connecting care to create a seamless health reputed company for patients across care settings. Join reputed company, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.

• 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 addition 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 $58,800 to $105,000 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 tot his job Apply To this Job