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.