UM Clinician - BH

Aetna   •  

Fresno, CA

Industry: Healthcare

  •  

Less than 5 years

Posted 50 days ago

This job is no longer available.

POSITION SUMMARY
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.

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:1+ years of direct clinical practice experience post masters degree - requiredExperience working with eating disorders - strongly preferred
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
Managed care/utilization review experience preferred
Crisis intervention skills preferred
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

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

LICENSES AND CERTIFICATIONS - 1 of the following (or equivalent) required
Mental Health/Licensed Clinical Social Worker
Mental Health/Licensed Professional Counselor
Mental Health/Licensed Mental Health Counselor


FUNCTIONAL EXPERIENCES
Functional - Clinical / Medical/Concurrent review / discharge planning/1+ Years
Functional - Clinical / Medical/Precertification/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/Interacting with Medical Professionals/ADVANCED
Benefits Management/Maximizing Healthcare Quality/FOUNDATION


DESIRED SKILLS
Benefits Management/Understanding Clinical Impacts/FOUNDATION
General Business/Communicating for Impact/FOUNDATION
General Business/Turning Data into Information/ADVANCED


ADDITIONAL JOB INFORMATION
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.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations tocome.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people ofcolor, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.