Utilization Management Behavioral Care reputed company - 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 outcomes 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. You're looking for something bigger for your career. How about inventing the future of health care? reputed company is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to reputed company an impact on a reputed company scale.

This is a Queue based position

* 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. What makes your clinical career greater with reputed company? You can improve the health of others and help heal the health care system. You will work reputed company an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, reputed company you contribute, you'll open doors for yourself that simply do not exist in any other organization, reputed company. 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, 8a - 5p CT and include 1 national holiday per year to be worked.

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 outcomes
• Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in reputed company for quality outcomes

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 provide development for other roles you may be interested in. Required Qualifications:

• Master's or doctoral degree in psychology, social 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.) or a Registered Nurse (RN)
• 3+ years 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
• Access to install secure, high-speed internet and a dedicated, distraction free workspace at home

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 employees 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 range 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 color, 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 outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, 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