Utilization Management Clinical Consultant

Posted 2025-04-22
Remote, USA Full-time Immediate Start

Description:
?? Full-time remote Utilization Management Clinical Consultant opportunity for candidates residing in Florida
?? Monday through Friday, 8am - 5pm EST with flexibility for business needs
?? Utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program
?? Apply critical thinking and clinical knowledge for Behavioral Health and/or medical conditions
?? Collaborate to assess appropriateness of treatment plans across levels of care
?? Coordinate, monitor and evaluate options for appropriate healthcare services/benefits
?? Provide triage and crisis support
?? Gather clinical information to render coverage determination/recommendation

Requirements: ?? Must reside in Florida ?? Licensed Independent Behavioral Health clinician or unrestricted Registered Nurse (RN) license in Florida with psychiatric specialty ?? 3+ years clinical practice experience in behavioral health (e.g., psychiatric hospital, residential or behavioral health treatment) ?? 1+ years' experience using MS office applications (Teams, Outlook, Excel, Word) ?? 1+ year electronic medical record documentation experience

Benefits:
?? A full range of medical, dental, and vision benefits
?? 401(k) retirement savings plan
?? Employee Stock Purchase Plan available
?? Fully-paid term life insurance plan
?? Short-term and long-term disability benefits
?? Well-being programs
?? Education assistance
?? Free development courses
?? CVS store discount
?? Discount programs with partners
?? Paid Time Off (PTO) or vacation pay
?? Paid holidays throughout the calendar year
?? Sick time and other time off consistent with state law and policies

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