Clinician, Utilization Management

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $72k - $77k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Lucet

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Lucet is a tech-enabled behavioral health company that combines human care teams and digital tools to connect individuals to timely, in-network mental health and substance-use care. It partners with health plans, employers, providers, and members through portals (employer/HR, member, provider, partner) and services such as EAP, care navigation, and provider resources to optimize access, quality, and value-driven behavioral healthcare.

📋 Description

• Review and complete initial and concurrent authorization requests • Provide excellent customer service and member care • Conduct comprehensive behavioral health utilization reviews • Apply medical necessity criteria, clinical judgment, and evidence-based practices for level-of-care determinations • Collaborate with members, families, providers, and clients to coordinate care • Facilitate access to behavioral health services • Support discharge planning and promote successful treatment outcomes • Maintain accurate documentation and use clinical systems effectively • Maintain compliance with regulatory and accreditation standards • Handle incoming telephonic contact from the provider network • Work independently to meet caseload requirements and team objectives

🎯 Requirements

• Current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse • Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment • Excellent verbal and written communication and interpersonal skills • Strong computer and keyboarding skills, including ability to document while simultaneously taking information over the phone • Ability to comprehend medical policy and criteria and clearly articulate health information • Ability to pass background check upon hire and throughout employment, including criminal, identity, education, employment, sanctions, watchlist, sex offender registry, and 10-Panel Drug Screen checks • High-speed internet service with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds • Hardwired internet connection • Ability to work from a fixed, designated workspace in the home • Ability to sit for extended periods and use wired headsets and desktop equipment

🏖️ Benefits

• Annual performance-based, discretionary incentive • Medical, dental, and vision coverage • 401(k) with competitive employer match • Company-paid life and disability insurance • Paid parental leave and wellbeing incentives • Generous paid time off, including volunteer time • Flexible spending accounts for healthcare and dependent care • Professional development opportunities and tuition reimbursement • Remote work flexibility (role-dependent) • Opportunity for meaningful growth, both personally and professionally • Company-provided equipment

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