Care Review Clinician

Job Title : Care Review Clinician

Location : Remote 100% (Must reside in Florida)

Duration : 03+ months (Possibility of extension)

Shift timings : Standard hours - 8 : 00 AM to 5 : 00 PM (Mon-Fri)

Job Description :

Must reside in Florida however this is fully remote

preference is for a LMHC, LMFT, or LCSW however RN with behavioral health outpatient experience will be considered

At least 2 years of behavioral health experience including outpatient community behavioral health services to include :

Psychosocial Rehabilitation, Day Treatment, Partial Hospitalization Program, Intensive Outpatient Program, Mental Health Targeted Case Management, Residential Treatment.

Master’s level clinician with active and unrestricted license in state of Florida (LMHC, LMFT, LCSW)

1+ Managed care experience

Experience utilizing MCG

Florida Agency for Healthcare Administration (AHCA) BH coverage policies knowledge

Must be available to work 40-hour work week Monday- Friday 8 : 00-5 : 00pm EST , potential for overtime with an expectation to cover weekend, if necessary to meet business needs.

2 years of direct care experience in an outpatient behavioral health setting

Experience with Utilization Management or Prior Authorization

Recent behavioral health experience in psychiatric facility, or community behavioral health center

Knowledge or community health and social service agencies