Clinician, CCR

Location

United States

Posted

1 day ago

Salary

$73K - $77K / year

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

Job Description

Clinician, CCR

Lucet

• The Clinician, CCR delivers behavioral health utilization management by conducting clinical reviews, coordinating care, and partnering with providers and internal teams to ensure medically appropriate treatment, effective discharge planning, and positive member outcomes • Conduct clinical reviews across all levels of behavioral health care and apply medical necessity criteria to treatment decisions • Utilize clinical judgment, evidence-based practices, and peer review processes to recommend appropriate levels of care • Collaborate with members, families, providers, and internal teams to coordinate care and ensure access to appropriate services and resources • Support discharge planning and continuity of care, including referrals, follow-ups, and connection to community or outpatient services • Maintain accurate clinical documentation and adhere to health plan requirements, regulatory standards, and utilization management processes • Contribute to quality outcomes by managing caseloads, participating in clinical rounds, and supporting efficient service delivery within established guidelines

Job Requirements

  • Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse
  • Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment
  • Excellent verbal and written communication and interpersonal skills
  • Strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone
  • Ability to comprehend medical policy and criteria to clearly articulate health information
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Benefits

  • Comprehensive health benefit options: Medical, dental, and vision coverage
  • 401(k) with competitive employer match
  • Company-paid life and disability insurance
  • Paid parental leave and wellbeing incentives
  • Generous paid time off, including volunteer time
  • Flexible spending accounts for healthcare and dependent care
  • Professional development opportunities and tuition reimbursement
  • Remote work flexibility (role-dependent)

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