Please note this role is temporary and only guaranteed through December 31, 2025. Opportunities may arise to move to a permanent role but it is not guaranteed.
Who We Are
At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body.
When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others – and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you’ll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.
Why join our team at Lucet?
We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply!
Benefits
We are looking for top-tier skills and experience in our remote-work environment and that’s because we offer top-tier compensation and benefits, which include:
- Annual compensation between $70,000 – $82,000, PLUS an annual performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant’s skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
- Full Health Benefits – Medical, Dental, and Vision
- 401(k) with competitive employer match
- Company paid life and disability insurance, wellbeing incentives, and parental leave
- Professional development opportunities and tuition reimbursement
- Paid time off including paid time off for volunteering
- Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
What You Will Do – Essential Functions
The Temporary Concurrent Review Clinician is responsible for completing continued stay requests, ensuring excellent customer service and member care. The role includes behavioral health clinical care coordination with the daily handling of incoming telephonic contact from our provider network, with the intent of making medical necessity determinations and ensuring appropriate discharge planning. This role will be expected to assess and refer a member to the next appropriate level of care, community services and/or outpatient support. The employee will also be able to demonstrate overall knowledge of various health plan requirements, including turnaround times and line of business specific authorization requirements. This position requires significant coordination with the Medical Directors, Clinical Operations leadership, case management teams, and quality and compliance teams with the intent of promoting effective, efficient care for Lucet members. The CCR Clinician is responsible for achieving SMART goals and ensuring strong member and provider care is delivered.
Clinical Review & Utilization Management
- Perform clinical reviews across behavioral health care levels using medical necessity criteria.
- Apply professional judgment in peer reviews and utilize tools for census and authorization management.
Member & Provider Engagement
- Support members and providers by assessing needs, coordinating care, and planning discharges.
- Facilitate access to appropriate services through collaboration and timely referrals
Documentation, Compliance & Professional Standards
- Ensure compliance with clinical standards, health plan policies, and licensure requirements.
- Maintain clinical knowledge and contribute to care coordination through clear, comprehensive documentation.
Who You Are
- Required Qualifications
- Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse in the state in which the business operation is located and/or other states as required by law, regulation, or contract.
- Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment.
- Excellent verbal and written communication and interpersonal skills, strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone.
- Ability to comprehend medical policy and criteria to clearly articulate health information
- Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 9-Panel Drug Screen.
- Someone who embodies our values by:
- Serving everyone with compassion and leading with empathy.
- Stepping up and creating value by taking charge and acting when there is an opportunity.
- Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
- Nurturing growth and belonging by respecting and celebrating everyone for who they are.
- Competencies
- Responsible with a high level of integrity and ethical standards
- Intuitive nature to identify compliance irregularities
- Self-motivated with excellent organizational skills.
- Ability to multitask and manage multiple priorities in a fast-paced, changing environment.
- Ability to work independently to meet caseload requirements.
- Ability to work within a collaborative, team-oriented environment.
- Ability to remain resilient and optimistic in the face of problems and challenges.
- Passion for improving lives through behavioral change and Wellness demonstrates consistency and professional demeanor in response to all situations regardless of the nature or circumstances of the situation.
- Working Conditions:
- Work is performed indoors in a remote, home setting or typical office environment- not substantially exposed to adverse environmental conditions.
- Frequent exposure to VDT screen.
- Frequent use of office machines to include telephone, copier, computer, and fax machine.
- Must be able to constantly remain in a stationary position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize, and plan, and maintain a positive and professional attitude in all situations.
We encourage applicants with a range of experiences who can demonstrate how their qualifications and skills align with the requirements of this role.
This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.