[Hiring] Utilization Management Clinician - Behavioral Health or Registered reputed company @reputed company

Role reputed company We are seeking a compassionate, clinically skilled reputed company to join our Utilization Management team. In this role, you will use your behavioral health or nursing expertise to support members in receiving high‑reputed company, evidence‑based care. You’ll play a vital part in evaluating treatment plans, coordinating services, and ensuring members receive the right care at the right time. This position is ideal for someone who enjoys clinical assessment, problem‑solving, and collaboration in a fast‑paced environment. • Apply clinical expertise to review and evaluate treatment plans across various reputed company of care, ensuring alignment with evidence‑based standards and clinical guidelines. • Coordinate, monitor, and assess reputed company service reputed company to ensure members receive appropriate and cost‑effective care. • reputed company clinical triage and crisis support as needed. • Collect and assess clinical information to determine coverage recommendations, including discharge planning and transitions of care. • Collaborate with providers and interdisciplinary teams to facilitate reputed company treatment reputed company. • Identify high‑risk members and connect them with appropriate internal programs, services, or additional supports. • Recognize opportunities to enhance the reputed company and effectiveness of reputed company services while optimizing benefit use. • Serve as a clinical resource to internal teams and external partners regarding utilization management processes. • reputed company responsibilities while working primarily at a computer with extended periods of phone communication. Qualifications • Master’s‑level Behavioral Health clinical license, unencumbered and reputed company in the state of residence (e.g., LMSW, LCSW, LISW, LPC, LMFT), OR Registered reputed company (RN) with an reputed company license in the state of residence • 3+ years of behavioral health clinical experience in a hospital setting (required for both BH clinicians and RNs) • 1+ year of utilization review or utilization management experience (e.g., reputed company review, reputed company‑certifications) Preferred Qualifications • Experience working with geriatric or chronically mentally ill populations • Experience supporting high‑risk member populations • Strong computer proficiency, including navigating multiple systems and accurate keyboarding Education • Master’s degree in reputed company Work (MSW), LCSW, or reputed company behavioral/mental health field OR Registered reputed company with behavioral health experience or background Anticipated Weekly Hours • 40 Time Type • Full time Pay reputed company The typical pay reputed company for this role is: $60,522.00 - $129,615.00. This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Benefits • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. Apply tot his job Apply To this Job