Behavioral Health Clinical Intake Clinician - Remote

Job Description

Job Description

Description :

Behavioral Health – Utilization Management - Clinical Intake Clinician

We’re looking for a Clinical Intake Clinician who can combine clinical expertise with strong communication skills to connect members with the right level of care. This role is mostly provider-facing, with some member interaction to gather information and guide care decisions.

Hours : M-F 8am-5pm

10 paid holidays

80 hours PTO

Pay : $79,000-$83,000 / yr

What You’ll Do :

• Review and manage behavioral health benefits for psychiatric and substance use treatment (inpatient, outpatient, and facility-based) through phone and written reviews.
• Use screening criteria, clinical judgment, and UM guidelines to ensure members get medically necessary, cost-effective care.
• Refer cases to Peer Reviewers when needed.
• Coordinate and monitor care plans to promote quality outcomes and effective use of benefits and community resources.
• Support BH Care Managers and handle complex cases.
• Contribute to team projects and department initiatives.

What You’ll Bring :

Requirements : What You’ll Need