Insurance Utilization Review Jobs in Portland, OR

Clearly Heard Counseling Services, LLC is seeking a dedicated and licensed mental health therapist to join our innovative team. This remote, full-time position focuses on providing high-quality outpatient therapy services to clients, with a commitment to improving mental health access and eliminating stigma.

At Clearly Heard Counseling Services, we believe in the power of effective therapy and the importance of a holistic approach to mental well-being. Located in Fairview, Oregon, our organization has made significant strides in transforming mental health culture by implementing evidence-based practices tailored to each patient’s unique needs. We collaborate with clients and community providers to ensure comprehensive and individualized treatment pathways that promote positive outcomes.

As a remote healthcare provider, you will work independently while being fully supported by our dynamic, multidisciplinary team. You will have access to various digital tools and platforms that facilitate seamless communication and documentation, allowing you to focus on delivering exceptional patient care. We foster an environment of support and continuous learning, ensuring that our therapists have the resources they need to thrive.

• Maintain timely and professional communication with clients, families, and referral sources, ensuring all calls and emails are returned promptly—within two hours during business hours and within 24 hours otherwise.
• Collaborate closely with the Utilization Review and Business Departments to manage authorizations, ensuring a smooth billing process.
• Lead discharge planning from the day of admission, conducting thorough discharge sessions to confirm that patients understand their aftercare plans, coping strategies, and necessary resources.
• Effectively manage crises during therapy sessions, providing necessary support to both clients and milieu staff, and collaborating with the treatment team to uphold the highest clinical quality.
• Complete all clinical documentation accurately and timely, ensuring compliance with treatment protocols and standards.
• Establish and nurture therapeutic rapport with clients, performing regular assessments for suicidality and risk of harm to self or others.
• Conduct professional admissions assessments, welcoming new patients with courtesy and kindness, and participating actively in clinical outreach activities.
• Engage in weekly treatment team meetings to discuss patient progress, treatment goals, and collaborate with fellow clinicians to provide comprehensive care.
• Provide utilization reviews for insurers, supplying necessary clinical documentation for initial and continued stay authorizations.

Our therapists serve a diverse clientele with varying mental health needs, including anxiety, depression, trauma, and family issues. By providing individualized treatment plans and fostering an inclusive atmosphere, we ensure that all individuals—regardless of background—receive compassionate and effective care aligned with their personal goals.

• A Master’s or Doctorate degree in Clinical Psychology, Counseling, or Clinical Social Work from an accredited program.
• An independent licensure in the state of Oregon (LCSW, LMFT, or LPC).
• Proficiency with electronic medical record systems and excellent electronic communication skills.
• A passionate commitment to improving lives through mental health services.

• Experience managing a robust caseload while maintaining high standards of care.
• Familiarity with broader healthcare systems and the ability to effectively interface with large providers and support teams.

We offer a competitive annual salary ranging from $80,000 to $100,000, depending on experience, as well as a comprehensive benefits package that includes:

• Professional liability insurance to protect your practice.
• An Employee Assistance Program (EAP) for additional mental health support.
• Minimized paperwork to allow you more time for patient care.
• A full caseload providing a fulfilling and busy work schedule.
• Comprehensive medical, dental, and vision insurance coverage.
• Life and disability insurance for added financial protection.

At Clearly Heard Counseling Services, we are committed to the professional development of our staff. Therapists will have opportunities for ongoing education, mentorship, and involvement in professional committees, paving the way for advancement within our organization and in the larger mental health field.

We are dedicated to building a diverse workforce that reflects the communities we serve and enhances the quality of care we provide. As part of our team, you will play a crucial role in shaping the future of behavioral healthcare while working in a supportive and progressive environment. Join us in making a significant impact on the lives of our patients and the broader community.

If you are passionate about mental health and meet the qualifications outlined above, we invite you to apply. Become part of a committed team that is changing lives and fostering a healthier future for all. We look forward to your application!