Job Summary
A healthcare company is searching for a person to fill their position for a Remote Behavioral Health Utilization Management Professional.
Core Responsibilities of this position include:
- Developing and managing new enrollee transitions
- Reviewing planned, in process, or completed health care services
- Providing information to enrollees, providers, and internal staff
Qualifications for this position include:
- Associates in Nursing or a Masters in Social Work
- RN license or clinical credentials in a behavioral health field: LSW, LPC, LISAC, LCSW, LMHP or LMFT
- 3 years of experience post degree in a clinical, psychiatric and/or substance abuse health care setting
- 3 years of experience conducting utilization management according to medical necessity criteria
- Ability to use computer systems
- Good organization, time management and verbal and written communication skills