Director Remote Utilization Review Jobs in Riverside, CA

Horizon Mental Care Services is seeking a dedicated and compassionate Remote Licensed Clinical Social Worker (LCSW) to join our dynamic team focused on providing exceptional hospice care. In this full-time role, you will play a crucial part in delivering therapy and clinical assessment services to clients facing life-limiting illnesses. Your expertise will ensure that patients and their families receive the emotional and psychological support needed during such sensitive times.

Horizon Mental Care Services is a leading provider of mental health and hospice care in Santa Ana, California. Our mission is to enhance the quality of life for patients through compassionate care, innovative treatment approaches, and interdisciplinary collaboration. We are dedicated to creating a supportive environment not only for our patients but also for our team members, advocating for professional growth and work-life balance.

This position is fully remote, allowing for flexibility while maintaining robust support through our virtual team platform. As part of our remote workforce, you will collaborate with a diverse group of mental health professionals, ensuring that quality care permeates every aspect of our operations. The work setting is designed to promote a healthy work-life blend, emphasizing the well-being of both our staff and our clients.

• Lead psychoeducational and process-oriented therapy groups to facilitate support and coping strategies for patients and their families.
• Conduct thorough clinical assessments to identify patients' mental health needs, tailoring interventions accordingly.
• Oversee case management duties, ensuring seamless coordination of care, including liaising with the Utilization Review and Business Departments regarding authorizations and billing processes.
• Initiate discharge planning on the day of admission, setting goals for patient-centered outcomes with clear transition plans.
• Complete discharge sessions to reinforce coping skills and resource availability, confirming discharge appointments with patients and their loved ones.
• Collaborate with outpatient providers and referral sources during the entire patient journey to guarantee continued support and care continuity.

Our focus is primarily on patients nearing the end of life, who require compassionate and empathetic support. You will work closely with clients experiencing profound emotional challenges, requiring adept handling of sensitive situations while providing firm support to their families. Your interventions will directly impact their overall experience during this critical phase.

• Master’s degree in Social Work (MSW) from an accredited institution.
• Valid and current California licensure as a Clinical Social Worker (LCSW).
• Proven excellent verbal and written communication skills, essential for engaging with stakeholders at all levels.
• Demonstrated ability to maintain appropriate professional boundaries with clients while exhibiting strong interpersonal skills.
• Efficient in completing and submitting required documentation, ensuring compliance and accuracy.

• Experience working within hospice or palliative care settings, ideally with a focus on psychosocial support.
• Familiarity with electronic health record (EHR) systems for documenting and managing patient data.
• Working knowledge of community resources and systems related to hospice care.

The salary for this role ranges from USD 120,000 to 130,000 annually, commensurate with your experience and caseload. In addition to a competitive salary, we offer a comprehensive benefits package, which includes:

• Health insurance with various plan options to suit your needs.
• Retirement plans with company match, ensuring you are supported in your future.
• Paid time off (PTO) and holidays to promote work-life balance.
• Opportunities for continuing education and professional development to advance your skills in the field.
• A collaborative and supportive team environment that fosters personal and professional growth.

At Horizon Mental Care Services, we are committed to the growth and advancement of our employees. You will have access to ongoing training programs, mentorship opportunities, and pathways to leadership roles. We believe that when our team members thrive, our patients receive the best possible care.

By joining Horizon Mental Care Services, you will be part of a mission-driven organization dedicated to making a profound impact on the lives of patients and families. We pride ourselves on our culture of respect, teamwork, and continuous improvement. If you are passionate about providing high-quality hospice care and are looking for a flexible, supportive work environment, we encourage you to apply.

If you are excited about the opportunity to make a difference in the lives of patients while growing your career, please submit your application today. We look forward to welcoming a new LCSW to our dedicated team and working together to provide exceptional hospice care.