Utilization Management Nurse Consultant – Behavioral Health

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $29 - $62 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lifelancer

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

💼 Consulting

🏥 Healthcare

📦 Logistics

💰 Pre Seed Round on 2022-03

Consulting • Healthcare • Logistics

Lifelancer is an AI-powered talent hiring platform that connects employers with skilled professionals in the Life Sciences, Pharmaceutical, and IT sectors. It enables individuals to create profiles showcasing their skills, get matched with high-paying international jobs or projects, and facilitates hiring and payroll for employers in multiple countries. The platform aims to streamline the hiring process with efficient AI sourcing and compliance support.

📋 Description

• Apply critical thinking, evidence-based clinical criteria, and clinical practice guidelines to inpatient and outpatient treatment and services requiring precertification • Use specific criteria to authorize procedures and services or initiate Medical Director referrals as needed • Collect and review clinical information from providers • Collaborate with providers and escalate cases when needed • Navigate multiple systems and maintain accurate documentation • Provide utilization management review in a fast-paced, computer-based environment • Perform sedentary desk and telephone work involving sitting, talking, listening, and computer use

🎯 Requirements

• Active unrestricted state Registered Nurse licensure in state of residence required • 3+ years of acute behavioral health and/or substance abuse clinical nursing experience • 1+ year of concurrent review or prior authorization, preferably in Behavioral Health and Substance Abuse • Commitment to attend mandatory 3-week training, Monday–Friday, 8:30am–5:00pm EST, with 100% participation • Ability to work occasional on-call rotational coverage on weekends and some rotational on-call holiday coverage • Associate's degree in nursing (RN) required • Proficiency with computer skills and navigating multiple systems • Dedicated workspace free of interruptions • Separate care arrangements for dependents during work hours • Preferred: 1+ years Managed Care (MCO) experience • Preferred: 1+ year experience in a high-volume clinical call center environment • Preferred: Remote work experience • BSN preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility