Behavioral Health Clinical Intake Clinician - Remote

Professional Management Enterprises•Indianapolis, IN

just now•$79,000 - $83,000•Remote

About The Position

Behavioral Health – Utilization Management - Clinical Intake Clinician We’re looking for a Clinical Intake Clinician who can combine clinical expertise with strong communication skills to connect members with the right level of care. This role is mostly provider-facing, with some member interaction to gather information and guide care decisions.

Requirements

Master’s degree in social work, counseling, or a related behavioral health field or a degree in nursing.
At least 3 years of experience in facility-based and/or outpatient psychiatric or substance use treatment (or equivalent combination of education and experience).
Current, active, unrestricted license in the U.S. such as RN, LCSW, LMHC, LMFT, or Clinical Psychologist.
Prior experience in case management/utilization management, including complex psychiatric and substance use cases.
Managed care experience required.
Strong oral, written, and interpersonal communication skills, plus problem-solving, facilitation, and analytical abilities.

Responsibilities

Review and manage behavioral health benefits for psychiatric and substance use treatment (inpatient, outpatient, and facility-based) through phone and written reviews.
Use screening criteria, clinical judgment, and UM guidelines to ensure members get medically necessary, cost-effective care.
Refer cases to Peer Reviewers when needed.
Coordinate and monitor care plans to promote quality outcomes and effective use of benefits and community resources.
Support BH Care Managers and handle complex cases.
Contribute to team projects and department initiatives.