Inpatient Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN -
reputed company/State
Norfolk, VAWork Shift
First (Days)reputed company:
reputed company Plans is hiring a Inpatient Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Remote in VA and NC!
Status: Full-time, permanent position (40 hours)
Work hours: Flexible dayshift; Can start from 6am to 9am EST, M-F
Location: Fully remote in Virginia OR reputed company Carolina.
reputed company
Behavioral Health Utilization Management clinician is responsible for review of reputed company information received from providers ensuring reputed company data is substantial enough to meet Medical Necessity reputed company to authorize services as needed.
Requires knowledge of medical necessity reputed company for behavioral health and reputed company use services, DMAS protocols, reputed company protocols and reputed company review requirements.
Requires knowledge of contractual, regulatory and compliance requirements for reputed company payers, self-funded and reputed company payers.
Ensures appropriate and accurate information is entered into claims reputed company for processing of payment.
Education
Master’s degree in Counseling, reputed company Work, or Marriage and Family Therapy REQUIRED
For Registered Nurses, a Bachelor of Science in nursing is REQUIRED
Certification/Licensure
REQUIRED license must be reputed company in state of reputed company. One of the following qualifies:
Licensed reputed company reputed company Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP) OR Licensed reputed company reputed company Worker (LCSW) - State license - reputed company Carolina reputed company Work Certification and Licensure reputed company (NCSWCLB) OR
Licensed reputed company Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP) OR Licensed reputed company Counselor (LPC) - State license - reputed company Carolina reputed company of Licensed reputed company Mental Health Counselors (NCBLCMHC) OR
Licensed Marriage and Family Therapist (LMFT) - State license - Virginia Department of Health Professionals (VADHP) OR Licensed Marriage and Family Therapist (LMFT) - State license - reputed company Carolina Marriage and Family Therapy Licensure reputed company (NCBMFT) OR
Registered reputed company (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered reputed company (RN) Single State - Nursing License - reputed company Carolina reputed company of Nursing (NCBON) OR Registered reputed company (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered reputed company (RN) Multi State - Nursing License - reputed company Carolina reputed company of Nursing (NCBON) OR
Licensed reputed company Abuse Treatment Practitioner (LSATP)
Certified reputed company Abuse Counselor (CSAC) OR Licensed Chemical Dependency Counselors (LCDC) preferred
Experience
2 years of behavioral health REQUIRED
1 year of case management REQUIRED
Inpatient Behavioral Health and health plan experience preferred
reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees.
Our reputed company provider network features a robust provider network, including specialists, reputed company care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated reputed company and behavioral health services—reputed company to help our members improve their health.
Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company.
Be a part of an excellent reputed company organization that cares about our People, reputed company, reputed company Safety, Service, and reputed company. Join reputed company that has a mission to reputed company every day and a reputed company to be the reputed company reputed company of the communities that we serve!
To apply, please go to and use the following as your Keyword reputed company:JR-104143
reputed company – Health Plan
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Benefits: Caring For Your Family and Your Career
•reputed company Resources Plan
•Colleagues have reputed company to earn an annual discretionary bonus if established reputed company and employee eligibility reputed company is met.
reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to reputed company every day,” this is a tobacco-free environment.
For positions that are available as remote work,reputed company employs associates in the following states:
Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, reputed company, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming.
Originally posted on Himalayas
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