Behavioral Health reputed company, Utilization Management - 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. This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health reputed company you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. 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 schedule is Monday - Friday, reputed company - 5pm CST and includes working one reputed company holiday per year.

Primary Responsibilities:

• Work with providers, facilities, and members to reputed company utilization management and authorization for outpatient services
• 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
• Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers

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:

• One of the following licensures - must be active and unrestricted
• Independently licensed master's degree in psychology, social work, counseling or reputed company field (i.e., LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.)
• Licensed PhD/PsyD (LP)
• Registered Psychiatric Nurse (RN)
• 3+ years of post-licensure clinical experience in a reputed company behavioral health environment
• Proficient with MS Office Suite
• Access to install secure, high-speed internet and a dedicated, distraction free workspace at home
• Available to work one reputed company holiday per calendar year
• Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls

Preferred Qualifications:

• Experience working with children, adolescents, and families
• Experience working with the autism population
• Managed care experience
• 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 $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 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