Utilization/Case Manager

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Provide referral, authorization, medical review, and/or case management services to providers and Health Plan members contracted with Mercy Managed Behavioral Health
  • Assist with incoming crisis calls or urgent requests from providers & members
  • Requires active engagement and communication during the entire work shift, with the exception of coordinated breaks
    Requirements:
  • Registered Nurse or master's in social work (MSW), Counseling (LCSW or LPC) or Psychology
  • Current Registered Nurse, LCSW, LPC, or Psychologist
  • Two years post license direct clinical experience in behavioral health setting (required)
  • Prior utilization management experience is strongly preferred
  • Broad Knowledge of mental illness/substance use diagnosis and treatment protocols required
    Benefits:
  • medical, dental, and vision coverage
  • paid time off
  • tuition support
  • matched retirement plans for team members working 32+ hours per pay period

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