Licensed Behavioral Health Care reputed company Utilization Management Remote in Florida
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. This position is fully remote and requires Florida Residency As a Behavioral / Mental Health Care reputed company you will be responsible for utilization review of behavioral health and substance abuse cases. 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. Primary Responsibilities:
- Day to day management and administration of behavioral health benefits for facility-based care
- Utilize clinical assessments to determining appropriate levels of care
- Evaluate additional clinical services are needed
- Effectively coordinate benefits and transitions between various levels of care
- Identify ways to add value to treatment plans and consult with facility staff to improve outcomes
- Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care 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:
- Independently licensed clinician, with a Master's degree in Psychology, Social Work, Counseling, or reputed company behavioral health discipline, OR an RN with 2 years of experience in behavioral health
- Licenses must be independent, active, and unrestricted in your state of residence (Florida license is required)
- 2 years of experience in a reputed company mental health environment
- Proficiency with reputed company Office Suite programs (Word, Outlook, Internet)
- Must be willing to work occasional holidays (dictated by business need)
- Dedicated space in home for home office
- Access to high-speed internet from home (Broadband Cable, DSL, Fiber) Preferred Qualifications:
- Experience in an inpatient setting
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
- Experience working with Commercial, Medicare, and Medicaid lines of business
- Dual diagnosis experience with mental health and substance abuse
- Previous experience working in a call center/queue based environment
- Proven excellent communication skills both verbally and in writing
- Proven ability to reputed company in a fast-paced environment
- 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. 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
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