Utilization Management Clinical Consultant

Description: • Full-time remote Utilization Management Clinical Consultant opportunity for candidates residing in Florida • Monday through Friday, 8am - 5pm EST with flexibility for business needs • Utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program • Apply critical thinking and clinical knowledge for Behavioral Health and/or medical conditions • Collaborate to assess appropriateness of treatment plans across levels of care • Coordinate, monitor and evaluate options for appropriate healthcare services/benefits • Provide triage and crisis support • Gather clinical information to render coverage determination/recommendation Requirements: • Must reside in Florida • Licensed Independent Behavioral Health clinician or unrestricted Registered Nurse (RN) license in Florida with psychiatric specialty • 3+ years clinical practice experience in behavioral health (e.g., psychiatric hospital, residential or behavioral health treatment) • 1+ years' experience using MS office applications (Teams, Outlook, Excel, Word) • 1+ year electronic medical record documentation experience Benefits: • A full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan available • Fully-paid term life insurance plan • Short-term and long-term disability benefits • Well-being programs • Education assistance • Free development courses • CVS store discount • Discount programs with partners • Paid Time Off (PTO) or vacation pay • Paid holidays throughout the calendar year • Sick time and other time off consistent with state law and policies Apply Job!