Utilization Management Clinical Consultant
October 15
Description
• Fully remote Utilization Review Clinical Consultant. • Applies critical thinking in clinical decision-making. • Coordinates and evaluates healthcare services for members. • Provides triage and crisis support. • Identifies opportunities to promote quality healthcare services. • Consults on utilization/benefit management processes.
Requirements
• Must reside in West Virginia. • Licensed independent behavioral health clinician or Registered Nurse (RN). • 3+ years clinical practice experience in behavioral health. • Willing to work Monday-Friday, 8am-5pm EST, with flexibility for weekends. • Managed care experience (preferred). • Utilization review experience (preferred). • Ability to multitask and prioritize effectively. • Proficiency with computer skills, including MS Office applications.
Benefits
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • 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 participating partners. • Paid Time Off (PTO) and paid holidays.
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