Clinician, Clinical Response

This is a fully remote position, open to applicants in United States.

📋 Description

• Deliver clinical customer service, utilization management assistance, and operational support to members, families, providers, and internal teams.

• Process authorization requests and perform clinical telephonic assessments.

• Provide support for member crisis situations.

• Coordinate referrals to behavioral health, Employee Assistance Programs (EAP), and community resources.

• Foster care transitions and assist with discharge planning.

• Address routine questions and maintain comprehensive documentation.

• Utilize behavioral health expertise in assessment, crisis intervention, motivational interviewing, utilization review, and care recommendations.

• Coordinate care among members, families, providers, and physician consultants.

• Facilitate service access and educate members regarding their benefits and available resources.

• Ensure appropriate treatment and authorization results.

• Collaborate with clinical and customer service teams.

• Engage in professional development, attend meetings, and participate in special projects.

• Support teammates in both routine and urgent situations.

• Maintain precise and timely clinical documentation in accordance with policies, regulations, accreditation standards, and contractual guidelines.

• Conduct follow-up outreach with members and providers.

• Keep professional competency through ongoing education and renewal of necessary licensure/certification.

• Work overnight from Wednesday to Saturday supporting a 24/7/365 call center, with potential holiday shifts.

⛳️ Requirements

• Active, unrestricted independent license issued by a U.S. state or territory as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse.

• A minimum of two years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment.

• Demonstrated written and verbal communication skills.

• Strong organizational abilities and capability to work collaboratively within a team-oriented environment.

• Excellent clinical skills.

• Proficient computer and keyboarding skills, including Microsoft Outlook and Word.

• Ability to document while concurrently gathering information over the phone.

• Capability to pass necessary background checks and a 10-Panel Drug Screen, including tests for marijuana.

• Must undergo a Public Trust background investigation and achieve favorable adjudication.

• U.S. citizenship for a minimum of five years.

• Current state license or certification to practice as a mental health practitioner in the applicable state(s), or an appropriate recognized national certification if state licensing is unavailable.

• Authority to practice independently without state-mandated clinical supervision.

• Ability to work efficiently in a remote environment.

• High-speed internet connection with at least 20 Mbps download, 5 Mbps upload, and a maximum latency of 100 ms.

• Hardwired internet connection required.

• A quiet, dedicated workspace at home with minimal background noise.

• Capability to sit for extended periods and perform repetitive typing and computer work.

🏝️ Benefits

• Annual performance-based discretionary incentive.

• Coverage for medical, dental, and vision needs.

• 401(k) plan with a competitive employer match.

• Company-sponsored life and disability insurance.

• Paid parental leave and wellness incentives.

• Generous paid time off policy, including time for volunteering.

• Flexible spending accounts for healthcare and dependent care expenses.

• Opportunities for professional development and tuition reimbursement.

• Flexibility for remote work (depending on the role).

• Opportunities for meaningful personal and professional growth.

• Equipment provided by the company.