Utilization Review Clinician-Behavioral Health-Clinician licensed in WA State OR compact RN

Care Review Clinician-Behavioral Health

Large Managed Care Company

Must be licensed in WA State or RN with Compact license and work in PST hours

3-month contract with potential for extension and/or perm hire

Fully Remote

up to $50 an hour

Job Description Summary: Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Healthcare members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.

Frequently Asked Questions:

1. Will the position be 100% remote? Yes

2. Are there any specific location requirements? No, as along as they are licensed in WA

3. Are there are time zone requirements? PST

4. What are the must have requirements? Utilization Management Experience, Behavioral Health Background

5. What are the day to day responsibilities? Processing reviews for various levels of care.

6. Is there specific licensure is required in order to qualify for the role? Licensed in the state of WA as Social Worker, Mental Health Counselor, Marriage Family Therapist, or Psychiatric Nurse.

7. What is the desired work hours (i.e. 8am – 5pm) 9-5 PST M-F or possibly Tuesday-Saturday

Comments for Suppliers: Looking for Behavioral Health Experience and licensure such as LICSW, LPCC, LMHC or RN

#ALLJ

Job Types: Full-time, Contract

Pay: Up to $50.00 per hour

Benefits: