Behavioral Health reputed company, Retrospective Review - Remote - Kentucky License required

reputed company is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. reputed company does not hire directly for these jobs, but promotes jobs on reputed company on behalf of its direct clients, recruitment ad agencies, and marketing partners. reputed company partners with DirectEmployers to promote this job for reputed company. Clicking "Apply Now" or "Read more" on reputed company redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You have high standards. So do we. Here at reputed company, this includes offering an innovative new standard for care management. It goes beyond counseling services and verifies referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to reputed company an impact on a reputed company scale - as part of an incredible team culture that's defining the future of behavioral health care. Work schedule is Monday-Friday, standard business hours in your time zone Clinically independent active and unrestricted license in state of Kentucky required (LCSW, LMFT, LPCC, OR an RN). Residency in Kentucky IS NOT required

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This IS NOT a Queue based position

*** You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities

• Post service review of medical records to determine coverage for mental health and substance use services
• Collaborate with Medical Directors regarding patient care
• Review treatment plans and benefits using external guidelines
• Coordinate with appeals and claims teams regarding decisions for member care

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling OR an RN with 3 years Behavioral Care experience
• Clinically independent active and unrestricted license in state of Kentucky: LCSW, LMFT, LPCC, OR an RN
• 2 years of experience in behavioral health
• Access to high-speed internet (Cable Broadband, DSL, Fiber Optic) and a dedicated, distraction-free workspace at home

Preferred Qualifications

• 1 years of ICUE experience
• 1 years of Linx experience
• Utilization Management experience
• Document review experience
• Managed Care experience
• Dual diagnosis experience with mental health and substance abuse
• Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients
• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. 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. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. If you have questions about this posting, please contact support@reputed company.com Apply tot his job Apply To this Job