Behavioral Health Care Advocate - UM - Remote

Responsibilities: Conduct telephonic clinical reviews with providers to ensure members receive effective outpatient psychotherapy and community-based treatment. Assess member care against coverage guidelines and partner with providers to implement best practices.

Requirements: Requires an active, unrestricted independent licensure in Psychology, Social Work, or Counseling with at least 2 years of behavioral health experience. Must have experience in outpatient psychotherapy and a distraction-free home office with high-speed internet.

Key skills: Clinical Review, Behavioral Health Assessment, Outpatient Psychotherapy, Utilization Management, Case Management, MS Office, Electronic Medical Records, Managed Care, Treatment Planning, Telephonic Review

Keywords: Behavioral Health, Utilization Management, UM, Clinical Review, Outpatient Services, Medicaid, Medicare, EMR, Managed Care, Psychotherapy, Independent Licensure, Care Advocacy, Telecommuter Policy, Health Optimization