Clinician, Clinical Response

Lucet•,

12d•$70,000 - $75,000•Remote

About The Position

The Clinical Response Clinician provides clinical customer service, utilization management support, and operational guidance to members, families, providers, and internal teams. The role completes authorization requests, conducts clinical telephone screenings, supports member crisis calls, facilitates referrals to behavioral health, EAP, and community resources, promotes care transitions and discharge planning, responds to routine inquiries, and maintains thorough documentation. The clinician applies knowledge of medical necessity criteria, health plan and EAP requirements, member crisis support, and Lucet policies and procedures. The position supports a 24/7/365 call center model and may require holiday work. The published schedule is Wednesday–Friday, 9:30 a.m.–8 p.m. CT, plus Saturday or Sunday, 6 a.m.–4:30 p.m. CT, and Monday–Wednesday, 9:30 a.m.–8 p.m. CT. Work is performed from home in a fixed, designated workspace using company-provided equipment.

Requirements

Hold a current, unrestricted, independent license issued by a U.S. state or territory as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist, or Registered Nurse.
Have at least two years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment.
Demonstrate written and verbal communication skills, organizational skills, and willingness to work in a collaborative, team-oriented environment.
Have strong clinical skills.
Have strong computer and keyboarding skills, including Microsoft Outlook and Word, and the ability to document while gathering information by phone.
Hold a current state license or certification to practice as a mental health practitioner in the state(s) where practice takes place; if unavailable in that state, hold appropriate certification from a recognized national certification organization or board.
Have authority to practice independently without state-mandated clinical supervision.
If supporting the U.S. Postal Service federal contract, pass the stated background checks and 10-panel drug screen, undergo a Public Trust background investigation and receive favorable adjudication, and have at least five years of U.S. citizenship.
Have high-speed cable or fiber internet installed before starting, with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds.
Be able to work efficiently in a remote environment, including from a fixed, designated home workspace with a quiet setting and hardwired internet.
Be able to remain seated for extended periods, use computer and phone systems, type, communicate and exchange information, inspect information, interpret data, problem-solve, make decisions, and organize and plan.

Responsibilities

Use behavioral health expertise in assessment, crisis intervention, motivational interviewing, utilization review, and care recommendations for members with mental health and substance use needs.
Collaborate with members, families, providers, and physician consultants to coordinate care, facilitate access to services, explain benefits and resources, and support appropriate treatment and authorization outcomes.
Provide high-quality member support in collaboration with clinical and customer service teams, using approved tools and resources and staying current on behavioral health benefits, technology, and community services.
Participate in professional development, meetings, and special projects, and assist teammates in routine and urgent situations.
Maintain accurate and timely clinical documentation in accordance with organizational policies, regulatory requirements, accreditation standards, and contractual guidelines.
Conduct follow-up outreach to members and providers and maintain professional competency through continuing education and required licensure or certification renewal.

Benefits

Annual compensation of $70,000–$75,000, plus an annual discretionary, performance-based 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, depending on the role.
Opportunities for personal and professional growth.