Job Summary
A health insurance company is filling a position for a Telecommute Outpatient Utilization Review Behavioral Care Advocate.
Core Responsibilities Include:
- Conducting outpatient utilization reviews to determine appropriate care
- Assessing if member care meets coverage guidelines
- Shaping member treatment in partnership with providers to ensure best practices
Must meet the following requirements for consideration:
- Active, unrestricted Licensed Master's Degree
- Independent licensure in the State of California
- Outpatient psychotherapy and community based treatment experience
- MS Office proficiency
- Have a distraction-free space in home to use as a home office
- Have access to high speed internet
