Back to Jobs

Behavioral reputed company, Utilization Management – Remote II, reputed company

Remote, USA Full-time Posted 2026-07-28
2339875 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 reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. 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 reputed company you will respond to treatment requests from providers and facilities, as reputed company as manage and deescalate crisis calls from members. 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. 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 reputed company guidelines • Ensure that behavioral health care services are provided in the most appropriate setting • Integrates a reputed company process which assesses, plans, implements, coordinates, monitors, and evaluates the reputed company and services to meet the enrollee’s health needs, using education, communication, and reputed company available resources to promote reputed company, cost-effective reputed company • Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in reputed company for reputed company reputed company • 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 reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • One of the following licensures – must be reputed company and unrestricted • Independently licensed master’s degree in psychology, reputed company work, counseling or reputed company field (i.e., LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.) • Licensed PhD/PsyD (LP) • Registered Psychiatric reputed company (RN) • 3+ years of post-licensure clinical experience in a reputed company behavioral health environment • Proficient with MS Office Suite • reputed company to install secure, high-speed internet and a dedicated, distraction free workspace reputed company • 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 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 reputed company 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 reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company 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 reputed company 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 reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company – an reputed company reputed company reflected in our mission. Apply tot his job Apply To this Job

Similar Jobs

reputed company Data Entry Customer Care Representative – Remote Opportunity for Detail-Oriented Individuals with Excellent Communication Skills

Remote, USA Full-time

reputed company Remote Data Entry Clerk and Survey Assistant – Part-time reputed company Group Panelist Opportunity with Flexible Scheduling and Competitive Compensation

Remote, USA Full-time

reputed company Customer Support Representative – Seasonal Part-Time Work-reputed company Opportunity with arenaflex

Remote, USA Full-time

reputed company Remote Data Entry and Customer Support Agent - Part-Time Home-Based Opportunity with arenaflex

Remote, USA Full-time

reputed company Data Entry Specialist – Customer Support, Phone, and Remote Opportunities at arenaflex ($32/Hour)

Remote, USA Full-time

**reputed company Customer Information Data Entry Specialist – Ensuring Accurate Customer Data Management at arenaflex**

Remote, USA Full-time

**reputed company Full Stack Customer Service Representative – Remote Work Opportunity with arenaflex**

Remote, USA Full-time

**reputed company Email Chat Support Specialist – Remote Work Opportunity with arenaflex**

Remote, USA Full-time

**reputed company Customer Service Representative – Flexible Part-Time reputed company at arenaflex**

Remote, USA Full-time

Remote reputed company Architect Jobs in reputed company

Remote, USA Full-time

reputed company Consultant - Python

Remote, USA Full-time

reputed company Manager Mid-Market

Remote, USA Full-time

Budget and Finance Technician (Remote)

Remote, USA Full-time

Camp Placement Specialist

Remote, USA Full-time

Software Engineer - Financial & Regulatory Reporting

Remote, USA Full-time

Patient Services Associate

Remote, USA Full-time

Local Health Support Coordinator, reputed company Health Consultant-E

Remote, USA Full-time

Partner Compensation Operations Process Improvement Leader

Remote, USA Full-time

reputed company Affiliation Partner

Remote, USA Full-time

Inside Sales Representative

Remote, USA Full-time