What are the responsibilities and job description for the Utilization/Case Manager - Remote position at Mercy?
Find your calling at Mercy!
The Utilization Management Case Manager works as part of a team to provide referral, authorization, medical review, and/or case management services to providers and Health Plan members contracted with Mercy Managed Behavioral Health. Specific duties vary and are as assigned depending on the Health Plan’s need.This position works alongside our BH Call Center and may be required to assist with incoming crisis calls or urgent requests from providers & members. This remote position requires active engagement and communication during the entire work shift, with the exception of coordinated breaks.
Position Details:
Education: Registered Nurse or master's in social work (MSW), Counseling (LCSW or LPC) or Psychology.
Licensure: Current Registered Nurse, LCSW, LPC, or Psychologist.
Experience: Two years post license direct clinical experience in behavioral health setting (required) and prior utilization management experience is strongly preferred.
Other: Broad Knowledge of mental illness/substance use diagnosis and treatment protocols required.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32 hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.