UM Clinician - BH

Less than 5 years experience  •  Managed Care & Health Insurance

Salary depends on experience
Posted on 11/08/17
Sandy, UT
Less than 5 years experience
Managed Care & Health Insurance
Salary depends on experience
Posted on 11/08/17

POSITION SUMMARY

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.

Fundamental Components:

This position is for a utilization management clinician. The individual will perform utilization management as well as discharge planning activities for members undergoing mental health and chemical dependency treatment.

BACKGROUND/EXPERIENCE desired:

3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

Managed care/utilization review experience preferred
Crisis intervention skills preferred

EDUCATION

The minimum level of education desired for candidates in this position is a Master's degree.

LICENSES AND CERTIFICATIONS

Mental Health/Licensed Clinical Social Worker is required
OR
Mental Health/Licensed Professional Counselor is required
OR
Mental Health/Licensed Mental Health Counselor is required
OR
Registered Nurse (RN) is required

FUNCTIONAL EXPERIENCES

Functional - Clinical / Medical/Precertification/1+ Years
Functional - Clinical / Medical/Concurrent review / discharge planning/1+ Years
Functional - Clinical / Medical/Direct patient care (hospital, private practice)/1+ Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1+ Years/End User
Technical - Desktop Tools/Microsoft PowerPoint/1+ Years/End User
Technical - Desktop Tools/Microsoft Word/1+ Years/End User

REQUIRED SKILLS

Benefits Management/Encouraging Wellness and Prevention/ADVANCED
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Understanding Clinical Impacts/FOUNDATION

DESIRED SKILLS

General Business/Communicating for Impact/FOUNDATION
Leadership/Driving a Culture of Compliance/FOUNDATION

46385BR

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