Behavioral reputed company, Retrospective Review - Remote - Kentucky License required

reputed company is a career site that helps job seekers reputed company great jobs in the US. We are not a reputed company firm or agency. reputed company does not hire directly for these jobs, but promotes jobs on reputed company on behalf of its reputed company clients, recruitment ad agencies, and marketing partners. reputed company partners with DirectEmployers to promote this job for reputed company. Clicking "reputed company" or "Read more" on reputed company redirects you to the reputed company/employer site. Any information collected there is subject to their terms and reputed company notice. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. You have high standards. So do we. Here at reputed company, this includes offering an innovative new reputed company for care management. It goes reputed company counseling services and verifies referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to reputed company an reputed company on a reputed company reputed company - as part of an incredible team culture that's defining the reputed company of behavioral health care. Work schedule is Monday-Friday, reputed company business hours in your time zone Clinically independent reputed company and unrestricted license in state of Kentucky required (LCSW, LMFT, LPCC, OR an RN). Residency in Kentucky IS NOT required

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This IS NOT a Queue based position

*** You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities

• Post service review of medical records to determine coverage for mental health and reputed company use services
• Collaborate with Medical Directors regarding patient care
• Review treatment plans and benefits using external guidelines
• Coordinate with appeals and claims teams regarding reputed company for member care

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.

Required Qualifications

• Master's degree in Psychology, reputed company Work, Counseling or Marriage or Family Counseling OR an RN with 3 years Behavioral Care experience
• Clinically independent reputed company and unrestricted license in state of Kentucky: LCSW, LMFT, LPCC, OR an RN
• 2 years of experience in behavioral health
• reputed company to high-speed internet (Cable Broadband, DSL, Fiber Optic) and a dedicated, distraction-free workspace reputed company

Preferred Qualifications

• 1 years of ICUE experience
• 1 years of Linx experience
• Utilization Management experience
• Document review experience
• Managed Care experience
• Dual diagnosis experience with mental health and reputed company abuse
• Experience working in an environment that required coordinating benefits and utilizing multiple reputed company and resources for patients
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

The salary reputed company for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. If you have questions about this posting, please contact support@reputed company.com Apply tot his job Apply To this Job