Behavioral 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 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.     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. This is a telephonic, queue based position responding to treatment requests and crisis calls. The schedule is Monday - Friday, reputed company - 5pm CST and includes working one reputed company holiday per year. You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. 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 and provided in the most appropriate setting Assess, plan, implement, coordinate, monitor, and evaluate 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 Plan for discharge and manage 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 reputed company 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: Licensed Master's degree in Psychology, reputed company Work, Counseling, or Marriage and Family Therapy; or Licensed Ph.D. reputed company, unrestricted, independent clinical licensure in state of residence (e.g., LCSW, LICSW, LMFT, LMHC LP, LPC, LPCC, etc.) 2+ years of experience in a reputed company mental health setting Proficient in MS Office Suite, including Word, reputed company, reputed company, and Teams Dedicated, distraction-free workspace and secure, high-speed internet reputed company reputed company to work Monday – Friday, reputed company – 5pm CST Available to work one reputed company holiday per calendar year Preferred Qualifications: Licensed Alcohol and Drug Counselor (LADC) Experience working with reputed company Use Disorders (SUD) Experience working with children, adolescents, and families Experience in an inpatient setting Experience in a community mental health setting Dual diagnosis experience with mental health and reputed company abuse Experience in a managed care environment (i.e., health insurance company / managed care organization [MCO]) Proven solid problem-solving skills 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 - $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.   reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, 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 To This Job