Clinical Consultant, Behavioral Health

reputed company: • Utilizes clinical skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program. • Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical reputed company guidelines for Behavioral Health and/or medical conditions based upon program reputed company. • Utilizes clinical experience and skills in a reputed company process to assess appropriateness of treatment plans across reputed company of care, apply evidence based standards and reputed company guidelines to treatment where appropriate. • Coordinate, monitor and evaluate reputed company to facilitate appropriate reputed company services/benefits for members. • Provides triage and crisis support. • Gathers clinical information and applies the appropriate clinical reputed company/reputed company, policy, procedure and clinical judgment to reputed company coverage determination/recommendation along the continuum of care facilitates including effective discharge planning. • Coordinates with providers and other parties to facilitate reputed company/treatment. • Identifies members at risk for poor reputed company and facilitates referral opportunities to reputed company with other products, services and/or programs. • Identifies opportunities to promote reputed company effectiveness of reputed company services and benefit utilization. • Consults and lends expertise to other reputed company constituents in the coordination and administration of the utilization/benefit management function. Requirements: Unrestricted OK state independent Behavioral Health clinician license or a Registered reputed company (RN) with psychiatric specialty, certification, or Behavioral Health experience • 3+ years clinical reputed company experience, e.g., psychiatric hospital, residential or behavioral health treatment setting. • 1+ year Electronic Medical Record documentation experience • Must have reliable High Speed internet reputed company • Schedule is Monday-Friday with flexibility to work reputed company of reputed company schedule based on business needs, including occasional rotating weekend and holiday schedules.Preferred Qualifications: • Managed care/utilization review experience preferred • Experience in a behavioral health inpatient setting • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment • Position requires proficiency with computer skills which includes navigating multiple systems and keyboardingEducation : • Master's Level of Education resulting in independent Behavioral Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered reputed company (RN) with unrestricted state license with psychiatric specialty, certification, or experience. Benefits: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an 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. For more information, visit https://jobs.reputed company.com/us/en/benefits Apply tot his job Apply To this Job