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.

• Process authorization requests and perform clinical telephonic assessments.

• Assist with member crisis calls.

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

• Facilitate care transitions and discharge planning activities.

• Respond to routine inquiries and maintain comprehensive clinical documentation.

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

• Coordinate care efforts with members, families, providers, and physician consultants.

• Enhance service accessibility and educate members about their benefits and available resources.

• Ensure proper treatment and authorization results.

• Collaborate with clinical and customer service teams.

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

• Provide assistance to colleagues in both routine and urgent situations.

• Adhere to organizational, regulatory, accreditation, and contractual compliance standards.

• Conduct follow-up outreach with members and providers.

• Maintain professional competence through ongoing education and renewal of licensure/certification.

⛳️ Requirements

• An active, unrestricted independent license issued by a state or territory in the United States as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse.

• At least two (2) years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment settings.

• Demonstrated written and verbal communication abilities.

• Strong organizational skills.

• Proficient clinical skills.

• Competent computer and typing skills, including proficiency in Microsoft Outlook and Word.

• Capability to document while simultaneously gathering information over the phone.

• Ability to successfully pass required background checks and a 10-Panel Drug Screen, inclusive of marijuana.

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

• U.S. Citizenship for a minimum of 5 years.

• Current state license or certification to practice as a mental health practitioner in the states where services are provided.

• Proper national certification if state licensure/certification is not available.

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

• High-speed cable or fiber-optic internet connection: minimum of 20 Mbps download, 5 Mbps upload, with a maximum of 100 ms latency.

• Ability to work effectively in a remote setting.

• Willingness to work the designated schedule and possibly on holidays.

• Designated quiet workspace at home with minimal background noise.

• Hardwired internet connection.

• Capability to sit for extended periods and perform repetitive tasks involving computer and phone work.

• Ability to multitask, prioritize effectively, think critically, resolve issues, and maintain accurate documentation.

🏝️ Benefits

• Annual performance-based discretionary incentive.

• Comprehensive medical, dental, and vision coverage.

• 401(k) plan with competitive employer matching.

• Company-paid life and disability insurance.

• Paid parental leave and wellbeing incentives.

• Generous paid time off, including time for volunteering.

• Flexible spending accounts for healthcare and dependent care expenses.

• Opportunities for professional development and tuition reimbursement.

• Remote work flexibility (dependent on role).

• Potential for meaningful personal and professional growth.

• Company-provided equipment for remote work.

• Work-from-home arrangement.