Utilization Management Behavioral Health

Doctor Relocation LLC

Murray, Utah, US
Lcsw: $38.77 - $59.82; rn: $40.39 - $60.96; benefi...
Hybrid
Behavioral health conditions
Medical necessity review
Evidence-based guidelines
This position is a hybrid role that combines the roles and expertise of Utilization Review and Care management, essential in ensuring members receive high-quality, cost-effective care

Job Summary

  • This position is a hybrid role that combines the roles and expertise of Utilization Review and Care management, essential in ensuring members receive high-quality, cost-effective care.
  • The role involves detailed assessments, evidence-based guidelines, and coordination among healthcare professionals to achieve optimal outcomes for members.
  • The company offers a $2500 sign-on bonus for external LCSW applicants with 1+ year of experience.

Matching Summary

This position is a hybrid role that combines the roles and expertise of Utilization Review and Care management, essential in ensuring members receive high-quality, cost-effective care.

Salary

LCSW: $38.77 - $59.82; RN: $40.39 - $60.96; Benefits: Eligible

Skills & Requirements

Must-have

  • Behavioral health conditions
  • Medical necessity review
  • Evidence-based guidelines
  • Healthcare operations
  • Regulatory compliance
  • Peer to Peer review

Nice-to-have

  • Positive attitude
  • Self-motivated
  • Flexibility in changing environment
  • Advanced Microsoft Suite knowledge

Key Requirements

  • LCSW or RN Licensure
  • Master’s degree in Applied Behavior Analysis (BCBA) or LCSW
  • Current licensure or Certification in Utah: BCBA, LCSW or RN
  • Current RN (Nurse) compact license
  • Minimum 1 year experience in Utilization management or closely related field
  • Intermediate computer and hardware set-up skills

Work Rights

Not specified

Tailored Resume

Cover Letter