Remote Licensed Behavioral Health Utilization Management Clinician career at Aetna in Sandy

Aetna is currently seeking to employ Remote Licensed Behavioral Health Utilization Management Clinician on Tue, 07 May 2013 18:22:39 GMT. Working At Aetna -- the Value To YouWhat does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways. Candidate must be located within commuting distance to an Aetna office, and must be very computer...

Remote Licensed Behavioral Health Utilization Management Clinician

Location: Sandy Utah

Description: Aetna is currently seeking to employ Remote Licensed Behavioral Health Utilization Management Clinician right now, this career will be placed in Utah. Further informations about this career opportunity please read the description below. Working At Aetna -- the Value To YouWhat does it mean to work at Aetna? A lot. From programs and benefits that support your ! financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways.

Candidate must be located within commuting distance to an Aetna office, and must be very computer literate and self sufficient.

The hours of the position are M-F 9:00-5:30 PST, 10:00-6:30 MST, 11:00-7:30 CST, or 12:00-8:30 EST.

POSITION SUMMARY
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.

This position will be part of the Behavioral Health Precert team who reviews outpatient care requests. This position will be office based initially with the possibility of telework at some! point in the future.

Below are the responsibiliti! es for this position:

• Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence based standards and practice guidelines to treatment where appropriate.
• Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
• Provides triage and crisis support
• Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
• Coordinates with providers and other parties to facilitate optimal care/treatment
• Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs
• Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilizatio! n
• Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function

Required Skills:Experience Required:

• 3-5 years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
• Managed care/precertification experience preferred
• Crisis intervention skills preferred
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
• Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing into the computer

Education and Certification Requirements:

• Licensed independent Behavioral Health clinician in state of service or RN with unrestricted licen! se.
• Minimum of a Master's degree in Behavioral/Mental health o! r Human Service/Health Services (as applicable to hiring program) or Registered Nurse with Behavioral Health experience/background.

EDUCATION
The highest level of education desired for candidates in this position is a PhD.

LICENSES AND CERTIFICATIONS
Mental Health/Licensed Clinical Social Worker (LCSW), Mental Health/Marriage & Family Therapist (MFT), Mental Health/Licensed Professional Counselor (LPC), Licensed Independent Social Worker (LISW), or Nursing/Registered Nurse (RN) is required

FUNCTIONAL EXPERIENCES
Functional - Direct patient care in a hospital or private practice/3+ Years
Functional - Nursing/Mental Health/Chemical Dependency/1-3 Years
Functional - Clinical/Medical/Precertification/1-3 Years
Functional - Concurrent review/discharge planning in a clinical setting/1-3 Years

TECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Aetna Behavioral Health/1-3 Years
Technical - Aetna Applications/S! trategic Contracts Manager/1-3 Years
Technical - Aetna Applications/Aetna Total clinical View/1-3 Years
Technical - Aetna Applications/Aetna Strategic Desktop Reporting/1-3 Years

REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals
Benefits Management/Understanding Clinical Impacts
General Business/Communicating for Impact

DESIRED SKILLS
General Business/Consulting for Solutions
Leadership/Collaborating for Results
Benefits Management/Maximizing Healthcare Quality

Please note that benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna does not permit the use of tobacco related products or drugs in the workplace.
How to apply
Please use the "Apply" link to apply to this position. If you cannot view this link, you can find this position on our website by visiting: www.aetna.com/working, click on apply online, search openin! gs, and enter 11883BR in the keyword field. Additional information on w! hat it’s like to work for Aetna and more can also be found on our website.

We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

We conduct pre-employment drug and background testing.
Aetna does not permit the use of tobacco related products or drugs in the workplace.

Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital s! tatus.

No search firms please.

You will not be asked for personal information until you have been fully evaluated through Aetna's screening processes. Aetna will never ask applicants for money. If you want to verify the identity of someone who contacts you from Aetna, call 1-800-AETNAHR (1-800-238-6247).
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Aetna.

If you interested on this career just click on the Apply button, you will be redirected to the official website

This career starts available on: Tue, 07 May 2013 18:22:39 GMT

Apply Remote Licensed Behavioral Health Utilization Management Clinician Here