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Temporary Clinician, Utilization Management

đŸ”„ 1 hour ago

đŸ‡ș🇾 United States – Remote

đŸ’” $34 - $36 / hour

⏰ Full Time

🟱 Junior

🟡 Mid-level

đŸ‘» Ghost score 0%

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Logo of Lucet

Lucet

501 - 1000 employees

đŸ„ 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 ‱ Conduct comprehensive behavioral health utilization reviews ‱ Apply medical necessity criteria, clinical judgment, and evidence-based practices to determine appropriate levels of care ‱ Handle incoming telephonic contact from the provider network ‱ 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 ‱ 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 the ability to document while simultaneously taking information over the phone ‱ Ability to comprehend medical policy and criteria to clearly articulate health information ‱ Ability to pass background check upon hire and throughout employment, including criminal, employment, education, healthcare sanctions, prohibited parties, 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 at home with minimal background noise ‱ Ability to sit for extended periods and perform repetitive typing motions ‱ Ability to multitask, manage multiple priorities, work independently, and work collaboratively

đŸ–ïž Benefits

‱ 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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