Utilization Management-Clinician, Behavioral

Overview

Required skills & experience (the “must haves” to be considered) • Graduate of Nursing program required; BSN desired or Graduate in Clinical Psychology or Clinical Social Work. • Experience working with behavioral health cases. • Active clinical licensure in good standing with current state • 3+ years of utilization management/quality improvement experience. ( will consider 1+ years of experience) • Working knowledge and understanding of basic utilization management concepts. What you need to know - Provides first level clinical review for all mental health, behavioral health and substance abuse authorization requests against applicable criteria, policies and procedures. Accurately documents all reviews and contacts providers and members according to established timeframes. - REMOTE role, but must live within one hour of Lee's Summit (Kansas City, MO suburb) so they can drive in for the occasional team meeting - Growth company, excellent benefits

Benefits

Company

This is a Health Insurance company that works with “narrow networks” to suppress the cost of healthcare for those enrolled in their program.