Utilization Management Clinician – Tuesday, Saturday

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

📋 Description

• Work collaboratively with healthcare professionals to ensure coordinated care.

• Evaluate members' health plan benefits and the resources available to them.

• Deliver utilization management services aimed at fostering cost-effective results.

• Accurately document case notes and engage with multidisciplinary teams.

• Support the Medical Director in formulating guidelines for the Health Services Department.

⛳️ Requirements

• At least three (3) years of experience in nursing or behavioral health.

• A valid and unrestricted Registered Nurse (RN) license or an equivalent is mandatory.

• Case Manager Certification accredited by CCMC is preferred.

• Comprehensive understanding of medical and behavioral health processes.

• Familiarity with case management plans is essential.

• Proficiency in utilizing computerized systems for data entry and retrieval.

🏝️ Benefits

• Health insurance coverage.

• 401(k) retirement plan.

• Paid time off for personal and vacation days.

• Options for flexible work arrangements.

• Opportunities for professional development and growth.