Clinician, Utilization Management

Lucet

. Review and complete initial and concurrent authorization requests .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-Level💰 $72,000 - $77,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting behavioral health utilization reviews and applying medical necessity criteria while providing exceptional member care and support. Proficient in maintaining accurate documentation and collaborating effectively with various stakeholders to ensure successful treatment outcomes.

Highest-signal resume keywords

Current Clinical LicenseBehavioral Health Utilization ReviewDirect Clinical Care ExperienceExcellent Communication SkillsComputer Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Necessity CriteriaClinical JudgmentEvidence-Based PracticesDocumentation SkillsTelephonic CommunicationDischarge PlanningPatient Care CoordinationRegulatory ComplianceCaseload ManagementTyping Skills

Soft Skills

Customer ServiceInterpersonal SkillsCollaborationProblem-SolvingAttention to Detail

Tools & Technologies

Clinical SystemsTelecommunication ToolsDocumentation Software

Certifications & Qualifications

Unrestricted Clinical License

Industry Keywords

Behavioral Health ServicesPsychiatric TreatmentChemical Dependency TreatmentOutpatient CareAccreditation Standards

About the role

Key responsibilities & impact

Review and complete initial and concurrent authorization requests
Provide excellent customer service and member care
Conduct comprehensive behavioral health utilization reviews
Apply medical necessity criteria, clinical judgment, and evidence-based practices to determine appropriate levels of care
Collaborate with members, families, providers, and clients to coordinate care
Facilitate access to behavioral health services
Support discharge planning and promote successful treatment outcomes
Handle incoming telephonic contact from the provider network
Maintain accurate documentation and comply with regulatory and accreditation standards
Use clinical systems effectively and adhere to organizational policies and procedures
Meet caseload requirements and team objectives independently and collaboratively

Requirements

What you’ll need

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
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 and clearly articulate health information
Ability to pass background checks upon hire and throughout employment, including criminal, identity, education, employment, sanctions, watchlist, sex offender registry, and drug screening checks
High-speed internet service with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds
Hardwired internet connection
Quiet workspace with minimal background noise
Ability to work from a fixed, designated workspace in the home
Ability to sit for extended periods and perform repetitive typing and computer work

Benefits

Comp & perks

Annual performance-based, discretionary incentive
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
Company-provided equipment