- Responsible for handling inbound calls, from providers and members in a call center / cue based environment
- Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity
- Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP, PHP, RTC, IP)
- Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting
- Ability to manage and resolve complex or escalated callers/issues in fast paced environment
- Master's degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
- Clinical license in LCSW, LMFT, LPCC that is active and unrestricted in the state of California
- 2+ years of experience in behavioral health
- Live in and be a legal resident of California for the duration of employment
- Ability to work 8:30am-5pm PST
- Ability to work rotating holidays
- Dedicated office space and access to high-speed internet service in your home
- Dual diagnosis experience with mental health and substance abuse
- Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs
- Experience with utilizing computer applications and softphone to complete all primary work responsibilities
- Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)
Professional Field





Patient Focus
Diagnoses
Avoidant Personality Disorder
Gender Dysphoria
Issues
Racism, Diversity, and Tolerance
Therapeutic Approach
Methodologies
ECT
Modalities
Families
Practice Specifics
Populations
Victims of Crime/Abuse (VOC/VOA)
Racial Justice Allied
Settings
Faith-based organizations
Intense Out-patient (IOP)
Milieu
Research Facilities/Labs/Clinical Trials
Residential Treatment Facilities (RTC)
Schools
Telehealth/Telemedicine
Home Health/In-home
Military
Forensic