Behavioral Health Clinical Intake Clinician - Remote

Description

Behavioral Health – Utilization Management - Clinical Intake Clinician

We’re looking for a Clinical Intake Clinician who can combine clinical expertise with strong communication skills to connect members with the right level of care. This role is mostly provider-facing, with some member interaction to gather information and guide care decisions.

Hours: M-F 8am-5pm

10 paid holidays

80 hours PTO

Pay: $79,000-$83,000/yr

What You’ll Do:

• Review and manage behavioral health benefits for psychiatric and substance use treatment (inpatient, outpatient, and facility-based) through phone and written reviews.
  
• Use screening criteria, clinical judgment, and UM guidelines to ensure members get medically necessary, cost-effective care.
  
• Refer cases to Peer Reviewers when needed.
  
• Coordinate and monitor care plans to promote quality outcomes and effective use of benefits and community resources.
  
• Support BH Care Managers and handle complex cases.
  
• Contribute to team projects and department initiatives.
  

What You’ll Bring:

• Strong clinical knowledge in behavioral health.
  
• Ability to assess needs, plan care, and collaborate with providers.
  
• Commitment to quality care and cost-effective solutions.
  

Requirements

What You’ll Need

• Master’s degree in social work, counseling, or a related behavioral health field or a degree in nursing.
  
• At least 3 years of experience in facility-based and/or outpatient psychiatric or substance use treatment (or equivalent combination of education and experience).
  
• Current, active, unrestricted license in the U.S. such as RN, LCSW, LMHC, LMFT, or Clinical Psychologist.
  
• Prior experience in case management/utilization management, including complex psychiatric and substance use cases.
  
• Managed care experience required.
  
• Strong oral, written, and interpersonal communication skills, plus problem-solving, facilitation, and analytical abilities.

Salary : $79,000 - $83,000