Utilization Management Nurse Consultant – Behavioral Health

Lifelancer

. Apply critical thinking, evidence-based clinical criteria, and clinical practice guidelines to inpatient and outpatient treatment and services requiring precertification .

Posted 10/14/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $29 - $62 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical nursing with a focus on acute behavioral health and substance abuse, utilizing evidence-based criteria for treatment authorization and management. Proficient in navigating multiple systems and maintaining accurate documentation in a fast-paced environment.

Highest-signal resume keywords

Active Registered Nurse LicensureAcute Behavioral Health ExperienceConcurrent Review or Prior AuthorizationUtilization Management ReviewManaged Care Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Practice GuidelinesPrecertification CriteriaClinical Information ReviewDocumentation MaintenanceComputer Proficiency

Soft Skills

Critical ThinkingCollaborationCommunication

Certifications & Qualifications

Registered Nurse LicensureAssociate's Degree in Nursing

Industry Keywords

Behavioral HealthSubstance AbuseUtilization ManagementHigh-Volume Clinical Call CenterRemote Work Experience

About the role

Key responsibilities & impact

Apply critical thinking, evidence-based clinical criteria, and clinical practice guidelines to inpatient and outpatient treatment and services requiring precertification
Use specific criteria to authorize procedures and services or initiate Medical Director referrals as needed
Collect and review clinical information from providers
Collaborate with providers and escalate cases when needed
Navigate multiple systems and maintain accurate documentation
Provide utilization management review in a fast-paced, computer-based environment
Perform sedentary desk and telephone work involving sitting, talking, listening, and computer use

Requirements

What you’ll need

Active unrestricted state Registered Nurse licensure in state of residence required
3+ years of acute behavioral health and/or substance abuse clinical nursing experience
1+ year of concurrent review or prior authorization, preferably in Behavioral Health and Substance Abuse
Commitment to attend mandatory 3-week training, Monday–Friday, 8:30am–5:00pm EST, with 100% participation
Ability to work occasional on-call rotational coverage on weekends and some rotational on-call holiday coverage
Associate's degree in nursing (RN) required
Proficiency with computer skills and navigating multiple systems
Dedicated workspace free of interruptions
Separate care arrangements for dependents during work hours
Preferred: 1+ years Managed Care (MCO) experience
Preferred: 1+ year experience in a high-volume clinical call center environment
Preferred: Remote work experience
BSN preferred

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility