Clinician, Utilization Management

Lucet

. Review and complete initial and concurrent authorization requests .

Posted 9/18/2026full-timeRemote • United StatesJuniorMid-Level💰 $72,000 - $77,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health clinical care coordination, including making medical necessity determinations and conducting utilization reviews. Proficient in maintaining documentation and compliance with regulatory standards while effectively collaborating with various stakeholders.

Highest-signal resume keywords

Current Clinical LicenseBehavioral Health Clinical Care CoordinationMedical Necessity DeterminationsUtilization ReviewsExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical JudgmentDocumentation SkillsBehavioral Health Services AccessDischarge PlanningEvidence-Based PracticesTelephonic CommunicationComputer SkillsKeyboarding SkillsMedical Policy ComprehensionPatient Care Experience

Soft Skills

Interpersonal SkillsVerbal CommunicationWritten Communication

Tools & Technologies

Clinical SystemsDesktop EquipmentWired HeadsetsHigh-Speed Internet

Certifications & Qualifications

State License for Clinical Social WorkerMarriage and Family TherapistProfessional CounselorClinical PsychologistRegistered Nurse

Industry Keywords

Behavioral HealthUtilization ReviewAccreditation StandardsRegulatory CompliancePsychiatric TreatmentChemical Dependency Treatment

About the role

Key responsibilities & impact

Review and complete initial and concurrent authorization requests
Provide behavioral health clinical care coordination
Handle incoming telephonic contact from the provider network
Make medical necessity determinations using clinical judgment, medical necessity criteria, and evidence-based practices
Conduct comprehensive behavioral health utilization reviews and 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
Maintain accurate documentation and comply with regulatory and accreditation standards
Use clinical systems effectively and follow organizational policies and procedures

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, in the state where the business operation is located and/or other states as required
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 documenting while simultaneously taking information over the phone
Ability to comprehend medical policy and criteria and clearly articulate health information
Ability to pass an extensive background check upon hire and throughout employment, including criminal, employment, education, sanctions, watchlist, sex offender registry, and 10-panel drug screening
High-speed cable or fiber-optic internet installed before starting, with minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds
Ability to work from a fixed, designated workspace at home with minimal background noise
Hardwired internet connection and ability to use company-issued wired headsets and desktop equipment
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)
Meaningful personal and professional growth opportunities
Company-provided equipment