Behavioral Health Care Advocate - UM - Remote

Primary Responsibilities

• Focus on outpatient commercial, Medicaid and Medicare behavioral health services
• Conducting outpatient reviews to determine appropriate care
• Assessing if member care meets coverage guidelines
• Shaping member treatment in partnership with providers to ensure best practices
• Administering benefits and reviewing treatment plans

Required Qualifications

• Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling with 2+ years of experience in behavioral health
• Active, unrestricted independent licensure in state of residence
• 2+ years of experience in a behavioral health setting
• Outpatient psychotherapy and community-based treatment experience
• Proven MS Office proficiency (Word, Excel, Outlook, Internet)
• Distraction-free space in home to use as a home office
• Access to high-speed internet (DSL or Cable)

Preferred Qualifications

• 2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services
• Experience working with EMRs (electronic medical records)
• Experience in managed care
• Experience conducting clinical review to determine appropriate levels of care
• Demonstrated telephonic/office-based experience
• Telephone queue experience
• Utilization review/management experience

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary for this role will range from $60,200 - $107,400 annually based on full-time employment.

We comply with all minimum wage laws as applicable.