Role Description As a Utilization Management Behavioral Health Care Advocate, you will be responsible for pre-certification / prior authorization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. This team does NOT operate in an inbound phone queue environment. This work-from-home position requires a schedule of Monday - Friday, 9:30am to 6:00pm Central Time and working 3 holidays per year based on business needs. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Manage and administer behavioral health benefits for facility-based care - Utilize clinical assessments to determine appropriate levels of care - Evaluate if additional clinical services are needed - Effectively coordinate benefits and transitions between various levels of care - Identify ways to add value to treatment plans and consult with facility staff to improve outcomes - Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care Qualifications - Master's or Doctoral degree in Psychology, Social Work, Counseling, Marriage and Family Therapy, or a related behavioral health discipline - Active, unrestricted, independent clinical behavioral health license (i.e., LP, LPC, LCSW, LMFT, etc.) - 2+ years of experience working in a related mental health environment - Proficiency with Microsoft Office Suite programs including Word, Outlook, and Teams - Willing to work 3 holidays per year based on business needs - Ability to adhere to the required schedule of Monday - Friday, 9:30am to 6:00pm Central Time - Dedicated home office space with access to reliable high-speed internet service at home Requirements - Experience working at a Managed Care Organization / health insurance company - Experience working in an inpatient facility - Experience doing utilization review / utilization management - Experience completing pre-certification / prior authorization reviews - Experience working with Commercial, Medicare, and Medicaid lines of business - Experience working with individuals with co-occurring mental health and substance abuse disorders - Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients - Excellent demonstrated verbal and written communication skills - Proven ability to thrive in a fast-paced environment Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Role Description Provide meaningful, individualized occupational therapy services remotely for students - helping them build the functional, academic, sensory, and life skills they need to succeed in school and beyond. As a licensed Occupational Therapist, you will: - Design and implement treatment plans - Conduct evaluations - Collaborate with interdisciplinary teams - Guide therapy services across educational settings This role blends clinical expertise with collaboration, creativity, and a strong commitment to student growth and outcomes. Qualifications - Current Occupational Therapist (OTR/L) license in Texas (or eligibility to obtain) - Experience in school-based or pediatric settings supporting children with learning, developmental, sensory, or social-emotional needs (preferred) - Strong understanding of IEP development, special education processes, and intervention planning (preferred) - Experience with sensory integration, fine motor development, and adaptive strategies (preferred) - Excellent organizational, documentation, and clinical reasoning skills (preferred) - Strong communication skills with the ability to collaborate across multidisciplinary teams (preferred) - Ability to work in a mission-driven, student-centered environment (preferred) Requirements - Conduct occupational therapy evaluations and develop individualized treatment plans aligned with students’ IEPs and clinical needs - Provide direct OT services to students across school-based settings - Collaborate with special education teams, teachers, and related service providers to support student goals and accommodations - Develop, update, and monitor IEP goals, including participation in annual and triennial reviews - Complete data collection, progress monitoring, and clinical documentation in a timely and accurate manner - Recommend adaptive strategies, environmental modifications, and assistive equipment as needed - Provide consultation, training, and guidance to school staff and COTAs when applicable - Ensure compliance with state, federal, and district regulations related to occupational therapy services Benefits - Comprehensive Benefits: Medical, Dental, Vision, 401(k) match, & more - CEU reimbursement, and ongoing professional development opportunities Company Description Point Quest Group is a leading national provider of special education services, partnering with 350+ school districts to help students with unique needs thrive academically, socially, and emotionally. Everything we do starts with one unwavering commitment: students first. Guided by a growth mindset, courageous leadership, and a deep culture of collaboration, fun, and determination, our teams show up every day ready to do whatever it takes for the students we serve. Through in-district services, therapeutic day schools, and specialized staffing, we deliver the personalized support every student needs — and deserves — to succeed.

• Review and evaluate medication orders for accuracy, appropriateness, and safety. • Provide medication counseling to patients, addressing questions and concerns. • Collaborate with healthcare providers to develop and monitor medication therapy plans. • Conduct patient care assessments and identify opportunities for optimizing drug therapy. • Participate in interdisciplinary collaboration and provide clinical recommendations. • Monitor and manage drug interactions, adverse effects, and therapeutic outcomes. • Maintain accurate patient records and documentation of interventions. • Stay current with developments in pharmacotherapy and contribute to the development of clinical protocols. • Ensure compliance with all state and federal regulations and accreditation standards. • Assist in the training and mentoring of new hires, pharmacy students and pharmacy liaisons (technicians).

• Conduct comprehensive initial evaluations and establish initial treatment plans. • Provide both therapy services to patients (ages 18+) with a full range of diagnoses seen within community mental health settings. • Collaborate with a wide network of support, including psychiatry, crisis services, peer support, case managers, and more. • Individual Therapist – Primary responsibility is providing outpatient individual therapy. • Case Manager/Therapist – Primary responsibility is case management with a small caseload of therapy clients.