Licensed Behavioral Health Advocate

Job Summary

Working remotely full-time, the Licensed Behavioral Health Advocate will conduct telephonic clinical reviews with providers to ensure members receive effective outpatient behavioral health services, while adhering to coverage guidelines and best practices.

Key responsibilities

• Focus on outpatient commercial, Medicaid, and Medicare behavioral health services
• Conduct outpatient reviews to determine appropriate care and assess treatment plans
• Collaborate with providers to shape member treatment and administer benefits

Required qualifications

• Active, unrestricted Independent Level Clinician license in Psychology, Social Work, Counseling, or Marriage and Family Counseling with 2+ years of behavioral health experience
• Active, unrestricted independent licensure in the state of residence
• 2+ years of experience in an outpatient psychotherapy and community-based treatment setting
• Proficient in MS Office applications (Word, Excel, Outlook, Internet)
• Access to a distraction-free home office and high-speed internet