Job Summary
An insurance agency has a current position open for a Remote Utilization Review Case Management Behavioral Health Clinician.
Core Responsibilities of this position include:
- Conducting telephonic utilization review/precertification services
- Assessing the member's current status, future care needs and treatment plan
- Communicating with providers and other departments to facilitate care, transitions of care, and discharge planning
Must meet the following requirements for consideration:
- Current unrestricted licensure as LMSW or LCPC
- 3-5 years of clinical practice experience
- Proficiency with Microsoft Office products
- Knowledge of medical/health insurance terminology, ICD-10/ICD-11, HIPAA and DOL regulations
- Experience using video conferencing
- Strong verbal and written communication skills