FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health utilization reviews, applying medical necessity criteria, and coordinating care among members, families, and providers. Proficient in maintaining compliance with regulatory standards and effective documentation in clinical systems.
Highest-signal resume keywords
Current Clinical LicenseBehavioral Health Utilization ReviewDirect Clinical Care ExperienceExcellent Communication SkillsCompliance with Regulatory Standards
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Necessity CriteriaClinical JudgmentEvidence-Based PracticesDocumentation SkillsTelephonic CommunicationMultitaskingKeyboarding SkillsCare Coordination
Soft Skills
Interpersonal SkillsAbility to Work IndependentlyCollaboration Skills
Tools & Technologies
Clinical SystemsTelephonic Systems
Certifications & Qualifications
Unrestricted Clinical License
Industry Keywords
Behavioral Health ServicesDischarge PlanningAccreditation StandardsPsychiatric TreatmentChemical Dependency Treatment
About the role
Key responsibilities & impact- Review and complete initial and concurrent authorization requests
- Conduct comprehensive behavioral health utilization reviews
- Apply medical necessity criteria, clinical judgment, and evidence-based practices to determine appropriate levels of care
- Handle incoming telephonic contact from the provider network
- 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 use clinical systems effectively
- Maintain compliance with regulatory and accreditation standards
- Meet caseload requirements and team objectives
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 to clearly articulate health information
- Ability to pass background check upon hire and throughout employment, including criminal, employment, education, healthcare sanctions, prohibited parties, sex offender registry, and 10-Panel Drug Screen 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
- Ability to work from a fixed, designated workspace at home with minimal background noise
- Ability to sit for extended periods and perform repetitive typing motions
- Ability to multitask, manage multiple priorities, work independently, and work collaboratively
Benefits
Comp & perks- 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
