TEMPORARY Clinician, Utilization Management
Full Job Posting
Why Join our Team
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, including:
Pay rate between $34 - $36 hourly *Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
*Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
Comprehensive health benefit options: 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 (role-dependent)
Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.
What You Will Do - Essential Functions
- The Utilization Management Clinician is responsible for reviewing and completing initial and concurrent authorization requests, ensuring excellent customer service and member care. The role includes behavioral health clinical care coordination with the daily handling of incoming telephonic contact from our provider network, with the intent of making medical necessity determinations and ensuring appropriate discharge planning.
- Utilization Management & Clinical Review Conducts comprehensive behavioral health utilization reviews, applying medical necessity criteria, clinical judgment, and evidence-based practices to support appropriate level-of-care determinations and member outcomes.
- Conducts comprehensive behavioral health utilization reviews, applying medical necessity criteria, clinical judgment, and evidence-based practices to support appropriate level-of-care determinations and member outcomes.
- Care Coordination & Member Support Collaborates with members, families, providers, and clients to coordinate care, facilitate access to behavioral health services, support discharge planning, and promote successful treatment outcomes.
- Collaborates with members, families, providers, and clients to coordinate care, facilitate access to behavioral health services, support discharge planning, and promote successful treatment outcomes.
- Compliance, Systems & Professional Development Maintains compliance with regulatory and accreditation standards through accurate documentation, effective use of clinical systems, ongoing professional development, and adherence to organizational policies and procedures.
- Maintains compliance with regulatory and accreditation standards through accurate documentation, effective use of clinical systems, ongoing professional development, and adherence to organizational policies and procedures.
Who You Are
Required Qualifications Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse in the state in which the business operation is located and/or other states as required by law, regulation, or contract. Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment. Excellent verbal and written communication and interpersonal skills, strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone. 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.
Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse in the state in which the business operation is located and/or other states as required by law, regulation, or contract.
Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment.
Excellent verbal and written communication and interpersonal skills, strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone.
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.
Living our Values:
Serving everyone with compassion and leading with empathy. Stepping up and creating value by taking charge and acting when there is an opportunity. Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. Nurturing growth and belonging by respecting and celebrating everyone for who they are.
Serving everyone with compassion and leading with empathy.
Stepping up and creating value by taking charge and acting when there is an opportunity.
Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
Nurturing growth and belonging by respecting and celebrating everyone for who they are.
Competencies
Self-motivated with excellent organizational skills. Ability to multitask and manage multiple priorities in a fast-paced, changing environment. Ability to work independently to meet caseload requirements and team objectives/goals. Ability to work within a collaborative, team-oriented environment. Ability to remain resilient and optimistic in the face of problems and challenges.
Self-motivated with excellent organizational skills.
Ability to multitask and manage multiple priorities in a fast-paced, changing environment.
Ability to work independently to meet caseload requirements and team objectives/goals.
Ability to work within a collaborative, team-oriented environment.
Ability to remain resilient and optimistic in the face of problems and challenges.
Working Conditions:
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. 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. This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home. A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment
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.
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.
This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home.
A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment
We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.
This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.
About Lucet
Lucet is a privately held behavioral health company providing tech-enabled care navigation and integrated services to health plans, providers, and members.
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