Missouri Licensed Utilization Manager

Job Summary

A company is looking for a Utilization/Case Manager - Remote.

Key Responsibilities

• Provide referral, authorization, medical review, and case management services to providers and Health Plan members
• Assist with incoming crisis calls or urgent requests from providers and members as needed
• Engage actively and communicate throughout the entire work shift, except during coordinated breaks

Required Qualifications, Training, and Education

• Education: Registered Nurse or master's in social work (MSW), Counseling (LCSW or LPC), or Psychology
• Licensure: Current Registered Nurse, LCSW, LPC, or Psychologist
• Experience: Two years of post-license direct clinical experience in a behavioral health setting
• Prior utilization management experience is strongly preferred
• Broad knowledge of mental illness/substance use diagnosis and treatment protocols required