About The Position

At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive. At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply! We support our team with a competitive compensation and benefits package. At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.

Requirements

  • Current BCBA certification and licensure if applicable for state of residence
  • Direct experience in working with children with Autism Spectrum Disorder in home and/or clinic setting
  • Strong computer skills (Word and Excel)
  • Ability to comprehend medical policy and criteria to clearly articulate health information.
  • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.
  • Self-motivating
  • Able to assume a leadership role to facilitate meeting company and unit objectives
  • Professional demeanor in response to all situations regardless of the nature or circumstances of the situation
  • Able to manage multiple tasks in a fast-paced, changing environment
  • Work is performed from home with company-provided equipment.
  • Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
  • A quiet workspace with minimal background noise for calls.
  • High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
  • Frequent use of computer and phone systems
  • Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.

Responsibilities

  • Provide utilization management and care management for behavioral health and health care navigation for ASD services provided to Lucet eligible members.
  • Collaborate in assessment, planning, facilitation, discharge planning, and advocacy to meet member health needs using available resources, while coordinating care among providers, care managers, and community organizations.
  • Engage members and families through telephonic assessments, follow-up support, education, and linkage to community, state, and national resources to address barriers to care and promote continuity of services.
  • Verify member eligibility and benefits, complete utilization review for ABA therapy, coordinate peer reviews for cases not meeting medical necessity, and develop Critical Intervention Plans as required.
  • Educate providers, facilities, and families on medical necessity criteria, quality of care expectations, documentation standards, and the denial and appeals processes.
  • Maintain accurate clinical documentation, protect client confidentiality, practice within licensure scope, and comply with regulatory, accreditation, and organizational standards.
  • Participate in clinical staffing, continuing education, special projects or committees, and demonstrate the ability to work independently from home with minimal supervision and required travel.
  • Adhere to Lucet’s Mission Statement, Core Values, Behaviors, Code of Ethical Business Conduct, and Compliance Program.
  • Comply with all Federal and applicable State and local laws and Lucet Policies and Procedures regarding privacy, confidentiality, and security of health information, and other designated information.

Benefits

  • Hourly compensation between $37 - $42
  • 401(k) with competitive employer match
  • Remote work flexibility (role-dependent)
  • Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
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