IDD UM Clinician (Remote NC)

Vaya Health

3d•Remote

About The Position

The IDD UM Clinician provides multiple utilization review tasks, including review of service plans and authorization of clinically appropriate services. The IDD UM Clinician works with Care Coordinators and service providers to facilitate appropriate service planning and service provision. As needed, the IDD UM Clinician also conducts post service reviews of services to determine the appropriateness of series provided. Additionally, the IDD UM Clinician will provide other clinical reviews, case consultations and training in order to facilitate the provisions of clinically appropriate services to consumers with intellectual and developmental disabilities.

Requirements

Master’s degree in Special Education, Psychology, Social Work or closely related Human Services field OR current licensure as an RN is required.
Two (2) years of experience in a Utilization Management environment in Behavioral Healthcare is required for this role.
At least two (2) years of post-degree progressive experience and practice that is relevant to the clinical area (IDD) for the which they will be conducting the initial clinical review
Must meet the criteria of being a North Carolina Qualified Professional with the population served (IDD) in 10A NCAC 27G .0104
Individuals who conduct initial clinical reviews must possess a current, active, unrestricted professional license or certification from North Carolina in a Human Services field. For incumbents who meet the requirements of this role through a degree in Nursing, incumbents must also possess a current, active Nursing License from the NC Board of Nursing or Nursing Licensure Compact (NLC). For incumbents who meet the requirements of this role through being a Master’s Level Human Services Professional, incumbent must also possess a current, active, unrestricted professional license in psychology, counseling, marriage and family therapy, additions, or similar (examples include LCMHC, LCSW, LMFT, LPA).
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
The person in this position is required to reside in North Carolina or within 40 miles of the NC border.