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Behavioral Health Utilization Management Clinician, LCSW, LPC, LMFT, RN

Community ManagerCommunity ManagerFull TimeRemoteMid LevelTeam 10,001+Since 1890H1B No SponsorCompany SiteLinkedIn

Location

North Carolina + 1 moreAll locations: North Carolina | Virginia

Posted

7 days ago

Salary

0

Seniority

Mid Level

Postgraduate Degree2 yrs expEnglish

Job Description

Behavioral Health Utilization Management Clinician, LCSW, LPC, LMFT, RN

Sentara Health

• Responsible for review of clinical information from providers ensuring it meets Medical Necessity Criteria • Knowledge of medical necessity criteria for behavioral health and substance use services • Ensures appropriate and accurate claims information is entered for processing of payment

Job Requirements

  • Master’s degree in Counseling, Social Work, or Marriage and Family Therapy REQUIRED
  • For Registered Nurses, a Bachelor of Science in nursing is REQUIRED
  • Certification/Licensure REQUIRED license must be valid in state of practice.
  • Two years of behavioral health REQUIRED
  • One year of case management REQUIRED
  • Experience in community based mental health services highly preferred
  • Utilization Management and Health plan experience preferred

Benefits

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k/403B with Employer Match
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down – $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

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