Clinical Care Reviewer

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $91k - $106.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Rula

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2019

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 Series C - Rula on 2024-07

Consulting • Insurance • Healthcare

Rula is a mental health care platform that connects patients with licensed therapists and psychiatric providers across the United States, offering online and in-person therapy, psychiatry, and medication management. The platform works with over 120 insurance plans nationwide (including Medicare, Medicaid, and many major commercial carriers), verifies coverage, provides cost estimates, and offers in-network pricing (average $15 per session with insurance) and cash rates for self-pay. Rula supports 90+ conditions (anxiety, depression, PTSD, ADHD, OCD, bipolar disorder, etc. ), provides tools for scheduling and managing appointments, and offers resources like tests/quizzes and a provider directory spanning all 50 states. It serves patients directly and partners with employers, health plans, and health systems, and emphasizes clinical standards, provider reviews, and ongoing professional development.

📋 Description

• Support Rula’s care efficiency pilots as part of the Clinical Quality team • Work directly with providers across Rula’s network • Coach providers 1:1 • Lead consultation and education groups • Respond to provider questions by email • Support efficient, effective, and clinically appropriate care • Support Continued Care Review work as needed • Review charts and treatment progress to guide next steps in care • Share observations about provider experience to shape and refine Rula’s pilots

🎯 Requirements

• Master’s degree • Active, unencumbered clinical license (LCSW, LMFT, LPC, or equivalent) • 3+ years of post-licensure experience in behavioral health • Experience reviewing clinical documentation and applying medical necessity criteria • Strong understanding of behavioral health treatment planning, progression, and appropriate episode duration • Experience coaching, training, supervising, or giving feedback to clinicians • Experience facilitating consultation or education groups • Excellent written communication • Comfort working with EHRs and digital tools such as Google Workspace and Salesforce • Must be based in the United States • Must currently be eligible to work in the United States • Must not require visa sponsorship to continue working in the United States • Preferred: experience in utilization management, peer review, or clinical quality roles • Preferred: familiarity with health plans, managed care organizations, or value-based care programs • Preferred: 1+ year experience in a high-growth startup environment • Preferred: experience with measurement-informed care and data • Preferred: experience carrying out new programs, pilots, or initiatives • Preferred: experience using, or openness to using, AI tools • MST and PST time zones preferred

🏖️ Benefits

• 100% remote work environment • Attractive pay and benefits • Medical, dental, vision, life, disability, and FSA/HSA • 401(k) plan access • Generous time-off policies, including 2 company-wide shutdown weeks each year • Paid parental leave for birthing, non-birthing, adopting, and fostering parents • Employee Assistance Program (EAP) • Quarterly department stipend for team-building activities or in-person gatherings • Community and employee resource groups • New hire home office stipend • $50 monthly stipend for internet or cell phone expenses • Year-round wellness initiatives • $50/month wellness stipend • Equity • Full-time employees receive benefits

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