Social Worker for Utilization Review

Health Strategy Company is seeking a Utilization Review Clinician. This is a home based position offering 22 hours per week including Fridays 5pm – 12am and Saturday 9am – 12am. May be required to work on-call at times.

Responsibilities:

• Approve and review utilization of mental health and substance abuse services provided in inpatient, outpatient, and intermediate care settings
• Help plan discharge and ambulatory follow up efforts
• Manage coverage on phone for Clinical Referral line on ACD system
• Assist members with mental health and substance abuse concerns
• Take part in specific utilization projects

Requirements:

• Must have current, valid, unrestricted license for practice with proof upon being hired
• Must be re-verified every 3 years
• Must be knowledgeable in current principles, procedures, and behavioral health
• Must possess at least 2 years of behavioral health experience; preferably in managed care
• Master’s Degree or higher in health discipline
• RN with professional license

Location: Home Based

Compensation: TBD

Employer Posted:Friday, November 06, 2009