Employer Industry: Behavioral Healthcare Management
Why consider this job opportunity
- Starting pay up to $50,000 per year, based on experience
- Free Teladoc access and visits for employees and eligible dependents
- Comprehensive benefits beginning on the 1st day of the month following the date of hire
- Matching HSA contributions of up to $1,500 per year
- Employee Referral Bonus of up to $4,000
- Opportunity to make a tangible difference in the lives of patients and their families
What to Expect (Job Responsibilities)
- Complete pre-authorizations, concurrent reviews, and internal utilization review assessments
- Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews
- Schedule peer-to-peer reviews and coordinate urgent/expedited appeals
- Staff individual cases with medical doctors as required
- Maintain compliance with all standard utilization review policies and procedures
What is Required (Qualifications)
- Bachelor’s degree in a health or behavioral health-related field required; graduate degree preferred
- High School diploma or equivalent and a state license (e.g., Registered Nurse, Licensed Practical Nurse, LCSW, LMHC) preferred
- Minimum of three years’ experience in a psychiatric or chemical dependency setting
- Minimum of three years’ utilization review experience preferred
- State licensure preferred (Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)
How to Stand Out (Preferred Qualifications)
- Experience in behavioral health management or addiction treatment settings
- Familiarity with ASAM criteria and utilization review processes
- Strong organizational skills and ability to manage multiple tasks under pressure
- Excellent communication skills with managed care companies
- Proactive problem-solving skills in a healthcare environment
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