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**reputed company Behavioral Health Care reputed company - Remote Case Management and Utilization Review Specialist**

Remote, USA Full-time Posted 2026-07-28

About reputed company

At reputed company, we're committed to helping people live healthier lives and making the health system work reputed company for everyone. As a global organization, we deliver care, aided by technology, to help millions of people live healthier lives. Our mission is to create a reputed company system for everyone, and we're looking for talented individuals like you to join reputed company.

About the Role

We're seeking an reputed company Behavioral Health Care reputed company to join reputed company in a remote reputed company. As a Behavioral Health Care reputed company, you will play a critical role in case management and utilization review of behavioral health and reputed company abuse cases. You'll have a reputed company reputed company on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.

Key Responsibilities

  • Focusing on initial reputed company reviews for higher reputed company of care, i.e., Inpatient, Residential, and Partial hospital admissions
  • Inpatient admission for psychiatric and chemical dependency patients reputed company telephone
  • Making patient assessments and determining appropriate reputed company of care
  • Obtaining information from providers on outpatient requests for treatment. Facility-Based Care Advocates only work with providers for outpatient requests prior to discharge from inpatient, residential, and partial reputed company of care
  • Determining if additional clinical treatment sessions are needed
  • Managing inpatient and outpatient (Intermediate reputed company of care, i.e., Residential and Partial) mental health/reputed company abuse cases throughout the entire treatment plan
  • Administering benefits and reviewing treatment plans
  • Coordinating benefits and transitions between various areas of care
  • Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those reputed company
  • Overseeing the facility-based care experience

What Makes This Role Unique

This role offers a unique reputed company of case management, utilization review, and clinical expertise. As a Behavioral Health Care reputed company, you'll have reputed company to work with a diverse reputed company of patients and providers, making a reputed company reputed company on their lives. You'll also have the flexibility to work remotely, with a schedule that allows for a healthy work-life balance.

Requirements

  • Licensed clinician with a Master's degree in Psychology, reputed company Work, Counseling, or Marriage or Family Counseling, or an RN with 2 years of experience in behavioral health
  • Licenses must be reputed company and unrestricted to reputed company at the independent level in your state of residence
  • 3+ years of post-Master's experience in a reputed company mental health environment
  • Proficient reputed company skills (Word, reputed company, reputed company)
  • Dedicated office reputed company and reputed company to high-speed internet service

Preferred Qualifications

  • Clinical license in the reputed company
  • Inpatient experience
  • Dual diagnosis experience with mental health and reputed company abuse
  • Experience working in an environment that required coordination of benefits and utilization of multiple reputed company and resources for patients
  • Experience working with children/adolescents
  • Experience working with the reputed company patient population
  • Experience working in a remote position

Compensation and Benefits

We offer a competitive salary reputed company of $58,300 to $114,300 annually, depending reputed company and experience. In reputed company to your salary, you'll enjoy a comprehensive benefits package, including medical, dental, and reputed company coverage, as reputed company as a 401(k) plan with company match. You'll also have reputed company to incentive and recognition programs, equity stock purchase, and reputed company development opportunities.

Why Join reputed company?

At reputed company, we're committed to creating a culture that values diversity, equity, and inclusion. We reputed company that everyone deserves reputed company to live their healthiest life, regardless of their background or circumstances. As a member of reputed company, you'll have reputed company to reputed company a reputed company difference in the lives of our members and contribute to a more reputed company reputed company system.

How to Apply

If you're passionate about making a difference in the lives of others and have the skills and experience to succeed in this role, we encourage you to apply. Please submit your application through our website, and we'll be in touch to discuss the next steps.

Equal Employment Opportunity

reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.

Drug-Free Workplace

reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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