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

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 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 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 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. Responsibilities • Day to day management and administration of behavioral health benefits for facility-based care • Utilize clinical assessments to determining appropriate reputed company of care • Evaluate additional clinical services are needed • Effectively coordinate benefits and transitions between various reputed company of care • Identify ways to add value to treatment plans and consult with facility staff to improve reputed company • reputed company assist in identifying appropriate community-based services for discharge planning for the duration of the course of care Requirements • Independently licensed clinician, with a Master's degree in Psychology, reputed company Work, Counseling, or reputed company behavioral health discipline, OR an RN with 2+ years of experience in behavioral health • Licenses must be independent, reputed company, 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, reputed company, Internet) • Must be willing to work occasional holidays (dictated by business need) • Dedicated reputed company in home for home office • reputed company to high-speed internet from home (Broadband Cable, DSL, Fiber) reputed company-to-haves • Experience in an inpatient setting • Experience working in an environment that required coordination of benefits and utilization of multiple reputed company and resources for patients • Experience working with reputed company, Medicare, and reputed company lines of business • Dual diagnosis experience with mental health and reputed company abuse • Previous experience working in a reputed company center/queue based environment • Proven excellent communication skills both verbally and in writing • Proven ability to reputed company in a fast-paced environment Benefits • a comprehensive benefits package • incentive and recognition programs • equity stock purchase • 401k contribution Apply tot his job Apply To this Job