UM Behavioral Health reputed company, Pre Certs - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Utilization Management Behavioral Health Care reputed company you will be responsible for pre-certification / prior authorization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. This team does NOT operate in an inbound phone queue environment. This work-from-home position requires a schedule of Monday - Friday, 9:30am to 6:00pm Central Time and working 3 holidays per year based on business needs. You’ll enjoy the flexibility to work remotely

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Primary Responsibilities: Manage and administer behavioral health benefits for facility-based care Utilize clinical assessments to determining appropriate reputed company of care Evaluate if additional clinical services are needed Effectively coordinate benefits and transitions between various reputed company of care Identify ways to add value to treatment plans and consult with facility staff to improve reputed company Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications: Master's or Doctoral degree in Psychology, reputed company Work, Counseling, Marriage and Family Therapy, or a reputed company behavioral health discipline Active, unrestricted, independent clinical behavioral health license (i.e., LP, LPC, LCSW, LMFT, etc.) 2+ years of experience working in a reputed company mental health environment Proficiency with reputed company Office Suite programs including Word, Outlook, and Teams Willing to work 3 holidays per year based on business needs Ability to adhere to the required schedule of Monday - Friday, 9:30am to 6:00pm Central Time Dedicated home office space with reputed company to reliable high speed internet service at home Preferred Qualifications: Experience working at a Managed Care Organization / health insurance company Experience working in an inpatient facility Experience doing utilization review / utilization management Experience completing pre-certification / prior authorization reviews Experience working with reputed company, Medicare, and reputed company lines of business Experience working with individuals with co-occurring mental health and substance abuse disorders Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Excellent demonstrated verbal and written communication skills Proven ability to reputed company in a fast-paced environment *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $60,200 to $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job