Note: The job is a remote job and is open to candidates in USA. Lucet transforms whole-person care through integrated behavioral and physical health solutions that connect individuals to appropriate care. The Temporary Clinician, Utilization Management reviews behavioral health authorization requests, makes medical necessity determinations, coordinates care, and supports discharge planning while providing excellent member and provider service.
Responsibilities
- Conducts comprehensive behavioral health utilization reviews, applying medical necessity criteria, clinical judgment, and evidence-based practices to support appropriate level-of-care determinations and member outcomes
- Collaborates with members, families, providers, and clients to coordinate care, facilitate access to behavioral health services, support discharge planning, and promote successful treatment outcomes
- Maintains compliance with regulatory and accreditation standards through accurate documentation, effective use of clinical systems, ongoing professional development, and adherence to organizational policies and procedures
Skills
- 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 in the state in which the business operation is located and/or other states as required by law, regulation, or contract
- 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
- High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required
- Frequent use of computer and phone systems
- Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations
- Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary
- A quiet workspace with minimal background noise for calls
- This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home
- A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment
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)
- Work is performed from home with company-provided equipment
- Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
Company Overview