Behavioral Health Care reputed company - Utilization Management - Remote in Arizona

About the position 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 diversity and 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 equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral / Mental Health Care reputed company you will be responsible for case management and 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. 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. If you are located in Arizona, you will have the flexibility to work remotely as you take on some tough challenges. Licensure and residency in the State of Arizona is required. 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.

Responsibilities

• Managing and administering inpatient and residential behavioral health benefits
• Reviewing clinical assessments and determining appropriate levels of care
• Determining if additional clinical services are needed
• Coordinating benefits and transitions between various levels of care
• Identifying ways to add value to treatment plans and consulting with facility staff on those reputed company
• Identify appropriate community-based services for discharge planning as indicated

Requirements

• Master’s degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health
• One of the following active, unrestricted, independent licenses to practice in the State of Arizona: LCSW, LMFT, LPC, PSY; OR RN with 2+ years of behavioral health experience
• 2+ years of experience in a reputed company mental health environment
• Proficiency with reputed company Office Suite programs (Word, Outlook, Internet)
• Arizona residency
• Willing to work occasional holidays (dictated by business need)
• Willing to accommodate changes in working hours (dictated by business need)

reputed company-to-haves

• Experience in an inpatient setting
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Prior experience with utilization management is highly preferred
• Experience working with Medicaid lines of business
• Dual diagnosis experience with mental health and substance abuse
• Experience working in a call center environment
• Proven excellent communication skills
• 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.

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

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